Coordinator's Report Form

Coordinator Name

Email - required

Disaster Website URL

Disaster email discussion list

Information Coordinator - if different from DRC

Disaster Relief Coordinator Address Name: Address: Phones: Email:

1. What are the current needs in Materials and Volunteers?

List Material Needs:

List Volunteer Needs:

2. Who are the contacts for Materials and Volunteers?

Materials Contact Person Name: Address: Phones: Email:

Volunteer Contact Person(s) Name: Address: Phones: Email:

3. Upcoming interfaith, VOAD, or unmet-needs meetings.

Please list Volunteer Organization Meetings by "Name," "Place" and "Date."

4. Have you had any contact with CWS Reps or FEMA Reps?  Please describe:

 Please list Government Agency contacts by "Agency Name," "Agency Rep," "Nature of Contact," "Place" and "Date."