Emergency Network Los Angeles Agency Disaster Status Report
Arts and culture
Mental health and crisis intervention
Crime and legal related
Food and nutrition
Housing and shelter
Public safety, disaster preparedness, and relief
Recreation and sports
Community improvement and capacity building
Religion related (faith based services)
Information and referral services
If your regular phone is not working, what is the best way to communicate with you?
Full Operation (Agency in full operation, all utilities are functional)
Non-Operational (Agency unable to provide any services due to the disaster/emergency)
Partial Operations/Services (Due to disaster, the agency is able to provide some, but not all planned services) What are the Services your agency can provide?
Has your agency relocated?
Normal services offered:
Disaster services offered:
Agency problems not mentioned above:
Does your agency have needs you want to communicate to other ENLA agencies? (This information is used to conduct a general needs assessment; there is no guarantee that assistance can be offered. DO NOT request emergency or governmental assistance on this form.
Problems or needs in your neighborhood? (for a general needs assessment):
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Los Angeles Regional Food Bank.