Form: SA-FIA-730_Initial.html, SA-FIA-730_Viewer.html
To:
Subject:Disaster Operations Statistical Report:
SeqInc:
Msg:
Disaster Operations Statistical Report
REPORT INFORMATION:
Disaster:
Task #:
Country:
Unit:
Community:
Single Day:
Cumulative: thru
LOCATION DETAILS (building, address, route)
CONTACT NUMBERS (phone,fax, e-mail):
FACILITY TYPE:
Feeding Operations Command Post Assistance Center Staging Area Shelter
Mobile Fixed Phone Bank Distribution Center Warehouse Other
DISASTER FOOD SERVICES:
Prepared Meals (hot and cold):
Drinks (coffee, soda, juice, water):
Snacks (donuts, cakes, chips):
MASS SHELTERING:
Lodging Provided:
MEDICAL / SANITATION:
Medical Services Provided:
Showers Provided:
EMERGENCY FINANCIAL AID:
Client Interviews:
Referrals to Other Agencies:
Total Cases Opened:
Total Individuals Assisted:
FINANCIAL ASSISTANCE:
Vouchers Total
Cleanup / Reconstruction:
Clothing:
Energy:
Furniture:
Gift Cards / Debit Cards:
Groceries:
Housing (Rent / Mortgage):
Transient Lodging (Hotel):
Transportation:
Other (specify):
TOTALS:
IN-KIND DISTRIBUTION:
Blankets (per item):
Bibles, Brochures, Tracts (per item):
Cleanup Kits (per kit):
Cleaning / Rebuild (per order):
Comfort Kits (per kit):
Clothing (per item):
Furniture (per item):
Groceries / Food Boxes (per order):
Ice (per bag):
Infant Supplies (per order):
Tarps / Plastic Sheeting (per item):
Toys (per order):
Water (per gallon or case):
NOTES:
EMOTIONAL & SPIRITUAL CARE
Spiritual Care Provided Prayer):
Adult Seekers:
Youth Seekers (Under Age 14):
Mental Health Care Provided (CISM):
Worship Services: |
Memorial Services: |
FINANCE ADMINISTRATION
Personnel | Number on Site | Hours Served
Officers:
Employees:
Volunteers:
Totals:
SUBMITTED BY:
NAME: TITLE: DATE SUBMITTED:
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Current Operational Assets Unduplicated Totals
Mobile Canteens
Other S.A. Vehicles
Assistance Centers
Command Posts
Distribution Centers
Feeding Facilities
Phone Banks
Shelters
Staging Areas
Warehouses
Other S.A. Facilities
Govn't EOCs*
Govn't DRCs*
Office notes:
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Express Sending Station: