Get Disaster Relief Client Intake Form Catholic Charities Disaster ... - Archindy

The Disaster Relief Client Intake Form is a crucial document for individuals seeking assistance from Catholic Charities after experiencing a disaster. This guide provides step-by-step instructions to help users complete the form accurately and effectively.

Follow the steps to successfully complete the intake form.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Begin by filling in the basic information. Enter the date, your name as the head of household, your date of birth, and gender. If applicable, include your spouse's information as well.
3. Provide your address at the time of the disaster, including the city, state, and zip code. Indicate whether this housing was subsidized and whether you shared housing expenses.
4. Specify the type of residence (e.g., single family dwelling, apartment, etc.) and whether you rent or own the residence. If you rent, include your landlord's name and phone number. If you own, provide your mortgage holder's name.
5. Fill out your current address information along with your home, work, and cell phone numbers, as well as your spouse's contact information if applicable.
6. List all individuals who live in your household. Include their names, genders, dates of birth, relationship to you, and whether they work outside the home.
7. Address any specific categories relevant to your household, such as if anyone is in active military, disabled, or has medical or mental issues. Provide additional information where necessary.
8. Complete the financial information section. Make sure to enter all income and expense figures as monthly amounts and include details for income, expenses, and any disaster assistance received.
9. Ensure all figures are accurate and in the correct format as specified (monthly, weekly, or yearly).
10. Review the form for any errors or omissions before submitting. You can save changes, download, print, or share the completed form as needed.

Complete your form online to ensure prompt assistance from Catholic Charities.