Double Up Michigan Grocery Stores: QUARTERLY DESCRIPTIVE REPORT

Attention DOUBLE UP partners: This report collects descriptive information of grocery stores operating GusNIP-funded SNAP Incentive (SI) programs. INSTRUCTIONS: ---> All sites (i.e., firms) must submit a quarterly report. ---> If your site did not operate Double Up during a specific reporting period, you must still submit a report indicating the program did not operate. ---> Quarterly reports will only be accepted using this online form. ---> Use one form per quarter. Multiple reporting periods may not be combined into the same form. REPORTING SCHEDULE: --> January, February, and March reports are DUE APRIL 8. --> April, May, and June reports are DUE JULY 8. --> July, August and September reports are DUE OCTOBER 8. --> October, November, and December reports are DUE JANUARY 8.
 

 

QUARTERLY DESCRIPTIVE REPORT

 

 
Select your site from the list below. *Double check for accuracy.*
 
Select the year for this reporting period.
 
Select the reporting period for this report.
 

 

ABOUT THIS SITE

If program was operational, questions about the location and hours of operation of your SNAP/Double Up incentive program will appear below.
 

 

DOUBLE UP

If program was operational, questions about your SNAP/Double Up incentive program will appear below.
 

 

ADDITIONAL PROGRAMS

If program was operational, questions related to additional programs operating at this site will appear below.
 

 

POINT OF SALE SYSTEM INFORMATION

 

CONTACT INFORMATION

 

 

FINAL STEPS BEFORE SUBMITTING

1. Review the information you provided above and check for accuracy. Make corrections if needed. 2. Click the box below titled “Send me a copy of my responses.” 3. Type your email address in the box that appears. Double check to ensure you entered it correctly. (After submitting your report, a copy of your responses will be sent automatically to the email you provide. Save for your records.) 4. Click the blue "Submit" button to send in your report.