Contact Us GAP Shopping Report GAP Shopping Report Please submit within 24 hours of shopping. Questions? Email morethanameal@mowcm.org Fields with an asterisk * are required. Note: Please enter N/A if MOW VISA was NOT used. Volunteer hours: Volunteer miles: Please enter each individual payment method amount, including EBT purchases, and attach the receipt image. Is this a return? YesNo Is this your first time shopping for the client?* YesNo If yes, please describe the experience: Receipt Date: (mm/dd/yyyy) Receipt Amount*: Payment Method: —Please choose an option—MOW VisaClient EBTFood BankPersonal CardGift CardOther If other, please explain: Attach receipt (please use one of the following file types: heic|jpeg|jpg|png|pdf and be sure the file is less than 5MB. WERE TWO FORMS OF PAYMENT USED IN THE SAME TRANSACTION OR DO YOU HAVE MORE RECEIPTS TO ENTER?* —Please choose an option—YesNo Is this a return? YesNo Receipt Date: (mm/dd/yyyy) Receipt Amount: Payment Method: —Please choose an option—MOW VisaClient EBTFood BankPersonal CardGift CardOther If other, please explain: Attach receipt Is this a return? YesNo Receipt Date: (mm/dd/yyyy) Receipt Amount: Payment Method: —Please choose an option—MOW VisaClient EBTFood BankPersonal CardGift CardOther If other, please explain: Attach receipt Is this a return? YesNo Receipt Date: (mm/dd/yyyy) Receipt Amount: Payment Method: —Please choose an option—MOW VisaClient EBTFood BankPersonal CardGift CardOther If other, please explain: Attach receipt Will the client check be mailed? YesNo Did you assist the client with: Putting away foodTrashMailOther If other, please explain: DO YOU HAVE A CLIENT CONCERN REGARDING ANY OF THE FOLLOWING? Nutritional Health - Food scarcityEconomic Security - Inability to afford utilities/medications, pet foodHome Safety - Home repairs/maintenance/fall risksSocial Isolation - Lack of support and sense of belonging Please explain your concerns: Rate your overall experience as a Meals on Wheels GAP volunteer from 1 (Poor) to 5 (Excellent): —Please choose an option—5 (Excellent)4321 (Poor) If you wish, please share a story about your volunteer experience: Volunteer Your Time or Donate Today! Get InvolvedDonate