FM Tracks: Mobile Market Manual Entry Forms Purpose Use this form to capture required data from your incentive program mobile market customers. A completed form will have: ❏ ❏ ❏ ❏ ❏ The Mobile Market route/stop(s) and date (p. 2) # of new customers (p. 3) # and $ of SNAP transactions and Incentives distributed (p. 3) # of producers/vendors that contributed to the mobile market offerings (p. 4) Answered Post Market Questions (p. 4) Mobile Markets have two options for reporting data: Option 1 – Minimum Required. Collect aggregate data (total sales) for all of your stops combined for day. Option 2 – Advanced. Collect sales data by stop (this is welcomed but not required). When you have completed this form for your mobile market stops, enter the data into the FM Tracks website (instructions below). If you have questions about the correct use of this form, please contact: [Nutrition Incentive Administrator or primary contact] How to Use This Form Customize this document to your market! Enter details specific to your market & program anywhere you see red text. IMPORTANT: ✩ = Required Step 1: Complete Mobile Market Route/Stop(s) & Date(s) (p. 2) Step 2: Record Individual Sales and Transaction Information in Transaction Log (p. 2) Step 3: Add up all of the transaction totals in Totals: Payments & Incentives (p. 3) Step 4: Track sales by site in the Sales by Stop Log (p. 3) – Optional Step 5: Complete Post Market Questions (p. 4) Step 6: Enter data into the FM Tracks website Enter data into the FM Tracks website at a minimum for each week at: www.fmtracks.org within the ‘Enter Daily Sales & Data’ section Confirm accuracy and completeness of sales data within the ‘Run Reports’ section Use Transactions Log (p. 2) to enter ‘Transactions’ Optional: Use Sales by Stop Log (p. 3) to track sales by mobile market stop Use Post Market Questions (p. 4) to complete the ‘Post Market Report’ Mobile Market Manual Entry Forms June 2016 1 Step 1: Mobile Market Route/Stop(s) & Date Using FM Tracks IDs ✩ Date: ✩ Route/Stop(s) FM Tracks IDs help you to learn more about your customers FM Tracks IDs do not affect a customer’s ability to participate in the nutrition incentive program or use SNAP benefits FM Tracks keeps track of new customers using FM Tracks IDs Creating FM Tracks IDs Your Mobile Market has 2 choices for formatting IDs. CHOOSE ONE AND USE IT CONSISTENTLY: First and last initials on the customer’s EBT card and last 4 digits of the EBT Card OR Customer’s first and middle initials and birth month and day (MMDD) FM Tracks IDs should always be 6 characters, for example: DB1017 Step 2: Transaction Log ✩ = Required Have you ever shopped at this mobile market before today? # (Y/N or FM Tracks ID) Ex KE1039 Payment Method (e.g., SNAP / EBT, Debit / Credit, WIC CVV) SNAP Payment Amount Incentive Name Incentive Amount # Have you ever shopped at this mobile market before today? (Y/N or FM Tracks ID) $10 Bonus Bucks $10 Payment Method (e.g., SNAP / EBT, Debit / Credit, WIC CVV) Payment Amount Incentive Name Incentive Amount 11 1 12 2 13 3 14 4 15 5 16 6 17 7 18 8 19 9 20 10 21 Mobile Market Manual Entry Forms June 2016 2 Need more space? Use the Transaction Log continued on p. 5 to track additional sales Step 3: Totals: Payments & Incentives ✩ = Required Incentive Discount (e.g. if the original cost is $30 and you offer a 50% SNAP incentive, enter $15) Track all federal benefit payments accepted, as applicable and as able. Payment Method (Enter 0 if N/A) ✩ WIC CVV ✩SNAP ✩ Senior FMNP ✩ WIC FMNP Produce Rx Debit/ Credit Cash ✩ [Enter Name of ✩ [Enter Name of Check SNAP Incentive Program] Incentives Other Incentive Program] Incentives Total Amount $ $ $ $ $ $ $ $ $ $ Number of Transactions # # # # # # # # # # Number of New Customers # # # # # # # # Copy this $ into Step 5: Post Market Questions # 2 or 3 on p. 4 Copy this $ into Step 5: Post Market Question # 1 on p. 4 Step 4: Sales by Stop Log - Optional Payments Processed # Mobile Market Stop SNAP WIC CVV Senior FMNP WIC FMNP Incentives Discounted Produce Rx Debit/ Credit Gross Sales [Enter Name of SNAP Incentive Program] [Enter Name of Other Incentive Program] Incentives Incentives 1 2 3 4 5 6 7 8 9 10 Mobile Market Manual Entry Forms June 2016 3 Step 5: Post Market Questions ✩ = Required 1. ✩ What was the total amount of SNAP redeemed by vendors today? (total SNAP reimbursement amount from p. 3) $ 2. ✩ What was the total amount of incentives redeemed by vendors for fruit and vegetables today? (total incentive amount from p. 3) $ 3. What was the total amount of incentives redeemed for SNAP eligible items today? (total incentive amount from p. 3) $ 4. ✩ How many farmers/producers contributed to the mobile market offerings today? # 5. ✩ How many paid staff were involved in the administration of the incentive program? # 6. ✩ How many volunteers were involved in administration of the incentive program? # 7. Did the mobile market donate food to social service groups today? Y 8. Did you do any additional marketing for today’s mobile market? If Yes, describe:______________________ 9. What was the weather like today? (pick all that apply) Sunny Cloudy Snowing N Rainy Windy 10. ✩ Did you have any of the following activities today? Check all that apply: ___ Live music ___ Taste test ___ Activities for kids ___ Chef/cooking demonstration ___ Health fair ___ Contest ___ SNAP-Ed programs and activities ___ EFNEP nutrition education/activities ___ Other nutrition education (non-federally funded) ___ SNAP outreach ___ WIC outreach ___ Gardening demonstration ___ None Mobile Market Manual Entry Forms June 2016 4 Transaction Log Continued from p. 2 # Have you ever shopped at this farmers market before today? (Y/N or FM Tracks ID) Payment Method (e.g., SNAP/ EBT, Debit/ Credit, WIC CVV) Payment Amount Incentive Name Incentive Amount # Have you ever shopped at this farmers market before today? (Y/N or FM Tracks ID) 22 39 23 40 24 41 25 42 26 43 27 44 28 45 29 46 30 47 31 48 32 59 33 50 34 51 35 52 36 53 37 54 38 55 Payment Method (e.g., SNAP/ EBT, Debit/ Credit, WIC CVV) Payment Amount Incentive Name Incentive Amount Mobile Market Manual Entry Forms June 2016 5 Mobile Market Manual Entry Forms June 2016 6
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