| HCS # |
Agency |
HUD POC |
Agency Contact |
Date(s) of attempted contact |
Date of Successsful Contact |
Agency Operational Y/N |
Operational on-site Y/N |
Operational Remotely Y/N |
Facility Damaged but open Y/N |
Facility Damaged and closed Y/N |
Staff impacted Y/N |
% of staff able to provide services |
Are you abke to provide all of your approved housing counseling sevicess? |
If not what services can you provide? |
Would you like your delivery methods to be expanded to include phone, email, etc. Y/N |
Any outreach activities to clients Y/N |
Any contact with FEMA, State or local agencies for assistance Y/N |
Any contact with FEMA, state or local agencies to offer assistance Y/N |
Interested in participating in future loss mit or other programs related to Recovery Y/N |
Have you been in touch with your parent agency for assistance or guidaance? Y/N |
If not impacted , are you able/willig to assist clients from impacted areas/agencies?Y/N |
If so, what services can you assitst with? |
Notes |