DAILY SHELTER REPORT

Report Number:

Facility:

Sender's call:

Time original report:

Shelter Population
Current number of people in shelter:
New registrations today:
Total number of registrations:
Meals served:	Date:
Breakfast:
Dinner:
Total:
Snacks:
Special diet Requirements:
Staff:
Red Cross Volunteer staff:
Red Cross Paid staff:
Facility staff:
Other staff:
Time of count:

Supplies Needed:
Item:	On Hand:	Needed:
Cots:
Blankets:
Comfort Kits:
Cleanup Kits:

Have unusual situation:
Need medical assistance:
Need mental health:
Security issue; called 911 / 146.88 :
Need security:

Safety, Security and Housekeeping check:

Date & Time:

Comments:

Received by:

Received Date & Time:

Daily Shelter Report (Rev. 00-01)