Donation Tracking Form Donation Tracking Form Thank you for choosing to make a difference! Name* First Last Name of Food Donor* Please enter the name of the foodservice donor providing the donation here. Email* Phone*Donor Type*RestaurantSchool CafeteriaOther CafeteriaHotelHospital/Health Care facilityCatererCharitable OrganizationSpecial EventWholesale/DistributorCommercial RetailPharmacyOtherWhat type of food service provider is providing the donation?Tax ID #:* Did you use a food runner or volunteer for transport food?* Yes No Did a volunteer help transport the food for you? If so, please let us know if a food rescue volunteer assisted with the donation.Food Runner Volunteer Name If a volunteer food runner assisted with this donation, please enter their name here.Name of Food Rescue Organization* Please enter the name of the food rescue organization to whom you donated. Food Donation Categories* Nonperishable, shelf-stable, dry goods Bread or pastries Fresh Produce (fruits and veggies) Dairy (eggs, milk, cheese) Perishable prepared foods cold salads, deli Frozen Perishable prepared hot foods Snacks Select the types of food donated and enter pounds for each category. If the item is considered perishable, enter the temperature recorded at the time of donation.Nonperishable PoundsEnter the pounds donated for this category. If nothing was donated in this category, enter 0. Bread or pastriesEnter the pounds donated for this category. If nothing was donated in this category, enter 0. Fresh Produce PoundsEnter the pounds donated for this category. If nothing was donated in this category, enter 0. Dairy PoundsEnter the pounds donated for this category. If nothing was donated in this category, enter 0. Dairy TemperatureEnter the temperature recorded at the time the donation was received. Temperatures are required for this category.Perishable prepared cold poundsEnter the pounds donated for this category. If nothing was donated in this category, enter 0. Perishable prepared cold temperatureEnter the temperature recorded at the time the donation was received. Temperatures are required for this category.Frozen poundsEnter the pounds donated for this category. If nothing was donated in this category, enter 0. Frozen TemperatureEnter the temperature recorded at the time the donation was received. Temperatures are required for this category.Perishable prepared hot poundsEnter the pounds donated for this category. If nothing was donated in this category, enter 0. Perishable prepared hot temperatureEnter the temperature recorded at the time the donation was received. Temperatures are required for this category.Snacks poundsEnter the pounds donated for this category. If nothing was donated in this category, enter 0. NotesUpload additional files (allowed are .jpg, .gif, .png, .pdf) Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 100 MB, Max. files: 10. Please upload photos of the food and/or any invoices or receipts exchanged between you and the food service donor.CAPTCHA
