Get Shelter Registration Form - Disaster Resistant Communities Group

Completing the Shelter Registration Form accurately is essential for ensuring you receive the necessary support during a disaster. This guide provides straightforward, step-by-step instructions tailored to help users fill out the form efficiently and effectively.

Follow the steps to complete the Shelter Registration Form online.

1. Press the ‘Get Form’ button to access the Shelter Registration Form and open it in your chosen editing tool.
2. Begin by filling out the 'Incident / DR Number & Name.' This information helps identify the specific disaster event for your registration.
3. Enter the 'Shelter Name,' followed by its location (City, County/Parish, State). This details where you are being sheltered.
4. In the 'Family Name' field, write your last name as the head of the household.
5. Indicate the 'Total family members registered' and 'Total family members sheltered.' This helps the shelter manage space and resources.
6. Fill out your 'Pre-Disaster Address,' including the City, State, and Zip Code.
7. If your post-disaster address is different, provide that information as well.
8. Record the type of identification verified in the 'Identification verified by' field. If you do not possess any ID, simply write 'none.'
9. Enter your 'Home Phone' and 'Cell Phone/Other' contact numbers for future communication.
10. Specify your 'Primary Language.' If it is not English, list any family members who are fluent in English to assist with communication.
11. Describe your 'Method of Transportation.' If you are using a personal vehicle, provide the vehicle's plate number and state for security.
12. In the section labeled 'INFORMATION ABOUT INDIVIDUAL FAMILY MEMBERS,' list each family member's name, age, gender, room/cot number, arrival date, and departure date.
13. If departing, provide the relocation address and phone number.
14. Answer the question regarding any legal requirement to register with state or local agencies. If applicable, consult the shelter manager immediately.
15. Acknowledge you understand the shelter rules by signing and dating the designated area.
16. Review the confidentiality statement and initial where required if you agree to share your information.
17. Finally, sign and date again at the end of the form, and ensure a shelter worker also signs where designated for record-keeping.

Complete your Shelter Registration Form online to ensure timely support and assistance.