JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Voluntary Agency Situational Report
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Agency Name:
*
Your answer
Agency Contact - Please include Name, Number & Email:
*
Your answer
Please select specific event that this data, impact update, story, or photo pertains to:
*
2025 SWCO Floods
2025 Government Shutdown
Rio Blanco County Wildfires - Lee & Elk (2025)
2024 Wildfires
2024 Northern Colorado Hailstorms (Weld & Yuma Counties)
Other:
Please provide COVOAD with information on the status of your organizations deployment and/or response activation and efforts. What is your organization doing and seeing in the field, what services are you providing and for how long, and what unmet needs you are aware of at this time?
*
Your answer
Please provide COVOAD with an update on what your organization is seeing on the ground. We would ask for you to consider sharing any mass care concerns, logistical concerns, safety concerns, unmet needs, etc.
*
Your answer
Number of Shelters – Congregate Shelters (CS) and/or Non Congregate Shelters (NCS)
Your answer
Total number of individuals sheltered at each location
Your answer
Volunteers Engaged
Your answer
Volunteer Hours
Your answer
Clean-up Kits Distributed
Your answer
Hygiene Kits Distributed
Your answer
Meals Served or Snacks Distributed (Please define clearly)
Your answer
Food Bank bulk distribution (please note weight in lbs or tons)
Your answer
Drinks/Water Distributed
Your answer
Health and Human Services contacts made:
Your answer
Emotional/Spiritual Care contacts made:
Your answer
Behavioral Health referrals made:
Your answer
211 Colorado Calls/People/Contacts served:
Your answer
Additional Services Provided:
Your answer
Supports needed: Is there currently anything your organization is challenged with or facing that Colorado VOAD can support or step in to try and assist or help with at this time?
Your answer
Additional Comments
Your answer
I acknowledge that my responses will be shared with COVOAD members and government partners.
*
Yes
Required
Submit
Clear form
Never submit passwords through Google Forms.
Forms
This content is neither created nor endorsed by Google.
Report Abuse
Terms of Service
Privacy Policy
Help and feedback
Contact form owner
Help Forms improve
Report