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Add Disasters
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Triage
Verify That the client is safe and not injured.
Document Resource Needs
Owner / Tenant
Client's Listing of Damage
Do you need help getting services such as food, transportation, utilities, shelter, or anything else?
- Required
Yes
No
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Do you need help getting services such as food, transportation, utilities, shelter, or anything else?
$
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Was your home damaged during this situation/disaster?
- Required
Yes
No
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Was your home damaged during this situation/disaster?
$
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Additional Assistance Needed
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Document Housing Needs
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Add Alternate Contact
Alternate Contact Information
Remove Contact
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Notes
- Required
Yes
No
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Notes
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