Shelter Status

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Shelter Status:	Select From List Open Closed Standby None
Date/Time Opened:
Date/Time Closed:
Shelter Name:
Address:
City:
State:
ZipCode:
Shelter Phone Number:
Special Needs Capable?:
Managed By:	Select From List ARC County Other
Facility Has:	Kitchen Snack Area Parking Bathrooms Sleeping Area Pets Office Space Shower Facilities Generator
Host Capacity (based on Sq. Ft.):	(must be numeric)
Current Population:	(must be numeric)
Available Population:	(must be numeric)
Special Needs Population:	(must be numeric)
Available Toilets (either gender):	(must be numeric)
Cots On Hand:	(must be numeric)
Cots In Use:	(must be numeric)
Primary Contact Last Name:
Primary Contact First Name:
Primary Contact Home Phone:
Primary Contact Other Phone:
Secondary Contact Last Name:
Secondary Contact First Name:
Secondary Contact Home Phone:
Secondary Contact Other Phone:
Directions:
Comments:
Last Updated:	by
Hurricane Related Information
Surge:	1 2 3 4 5
Hazard Type:
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