Get Okeechobee County Special Needs Shelter Application Form

Completing the Okeechobee County Special Needs Shelter Application Form online is essential for individuals needing assistance during emergencies. This guide provides a clear overview of each section of the form, ensuring a thorough and accurate submission.

Follow the steps to successfully fill out the application form online.

1. Press the ‘Get Form’ button to access the Special Needs Shelter Application Form. Opening this document allows you to begin filling it out electronically.
2. In the 'Name' field, enter your full legal name as it appears on official documents.
3. Provide your date of birth in the designated section, ensuring it is formatted correctly.
4. Fill in your street address. If your mailing address differs, complete the 'Mailing Address' section accordingly.
5. Indicate your city and zip code in the respective fields to ensure accurate location details.
6. Enter your primary phone number. This will be used for contact purposes.
7. Select your gender by marking the appropriate box. Additionally, specify your primary language from the options provided.
8. Detail the contact person's name and their relationship to you, along with a contact phone number.
9. Input the name of your caregiver, their relationship to you, and their phone number.
10. In the 'Directions to Home' section, provide clear directions so shelter staff can locate your residence easily.
11. List your attending physician's name and their contact phone number.
12. Fill in the name of your health care agency, avoiding any abbreviations.
13. Indicate any special needs by checking the appropriate boxes for medical assistance required, including daily care, medication administration, or any medical equipment necessary.
14. Specify your transportation requirements, choosing from available options.
15. Include any additional needs you may have, such as being bed bound or requiring assistance.
16. Answer the question regarding your post-shelter plans, providing details on what arrangements you have if unable to return home.
17. Once all fields are completed, review your entries for accuracy before saving your changes, downloading, printing, or sharing the completed form.

Start filling out your application form online today to ensure you receive the necessary support.