USDA Log for Agencies - Regional Food Bank of Northeastern New York

Reporting Date (month here should match the inventory report that this will be documented on.)*
MM slash DD slash YYYY
Item Name*
Date Reporting*
MM slash DD slash YYYY
Item Number*
Invoice Number*
Date Received*
MM slash DD slash YYYY
Number of Damaged Units*
Picture(s) of Damaged Product AND Picture(s) of the Box the Product Came in*
Drop files here or

Max. file size: 50 MB.
Any Additional Explanation of Inventory Adjustment
Agency Name*
Agency Reference Number*
Name of Agency Representative*
First Last

Please email all questions to Member Services at MemberSvcs@regionalfoodba.wpenginepowered.com.

Please note that damaged or spoiled products should be removed from your inventory.