42
FAITH CHAPEL CHRISTIAN CENTER Faith Chapel Disaster Recovery and Action Plan Created: March 2013 Modified: March 2014

Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

  • Upload
    others

  • View
    0

  • Download
    0

Embed Size (px)

Citation preview

Page 1: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

FAITH CHAPEL CHRISTIAN CENTER

Faith Chapel Disaster Recovery and Action Plan

Created: March 2013 Modified: March 2014

Page 2: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

2 | P a g e

Table of Contents Table of Contents ...............................................................................................................................2

Faith Chapel Disaster Recovery Plan General Information ...................................................................5

Phase 1: Assessment ................................................................................................................................. 5

Phase 2: Response .................................................................................................................................... 5

Phase 3: Recovery ..................................................................................................................................... 5

Emergency Action Team Role (EAT) .......................................................................................................... 6

Incident Commander Role ........................................................................................................................ 6

Assessment Team ..................................................................................................................................... 6

Data Team ................................................................................................................................................. 6

Case Workers ............................................................................................................................................ 6

Response Team ......................................................................................................................................... 6

Teams Breakdown .............................................................................................................................7

Emergency Action Team (EAT) .............................................................................................................. 7

Incident Commanders ........................................................................................................................... 7

Assessment Team ................................................................................................................................. 7

Data Team ............................................................................................................................................. 7

Case Workers ........................................................................................................................................ 8

Response Team ..................................................................................................................................... 8

Communication Information .................................................................................................................... 9

Faith Chapel Disaster Response Plan................................................................................................. 10

Phase 1: Assessment ............................................................................................................................... 10

Business Assessment........................................................................................................................... 10

Member Assessment .......................................................................................................................... 10

Community Assessment ...................................................................................................................... 11

Phase 2: Response .................................................................................................................................. 11

Page 3: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

3 | P a g e

Business Response .............................................................................................................................. 11

Member Response .............................................................................................................................. 11

Community Response ......................................................................................................................... 11

Phase 3: Recovery ................................................................................................................................... 12

Business Recovery ............................................................................................................................... 12

Member Recovery ............................................................................................................................... 12

Community Recovery .......................................................................................................................... 12

Faith Chapel Disaster Response Flow Chart ....................................................................................... 13

Care Functional Disaster Response Plan ............................................................................................ 16

Phase 1: Care Assessment....................................................................................................................... 16

Member Assessment .......................................................................................................................... 16

Phase 2: Care Response .......................................................................................................................... 16

Phase 3: Care Recovery ........................................................................................................................... 17

Care Disaster Response Flow Chart ................................................................................................... 18

Human Resources Functional Disaster Response Plan ....................................................................... 19

Priority #1 Critical Staffing ...................................................................................................................... 19

Priority #2 – Employee Health ................................................................................................................ 19

Priority #3 - Processing Payroll ............................................................................................................... 19

Priority #4 – Bill payments ...................................................................................................................... 20

Facilities Functional Disaster Response Plan ..................................................................................... 21

Phase 1: Facility Assessment ................................................................................................................... 21

Phase 2: Facility Response ...................................................................................................................... 22

Phase 3: Facility Recovery ....................................................................................................................... 22

Facilities Disaster Response Flow Chart ............................................................................................ 23

Operations Functional Disaster Response Plan .................................................................................. 25

Phase 1: Operations Assessment ............................................................................................................ 25

Page 4: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

4 | P a g e

Phase 2: Operations Response ............................................................................................................... 25

Operations Disaster Response Flow Chart ......................................................................................... 27

Appendices ...................................................................................................................................... 28

Appendix A .............................................................................................................................................. 28

Important Contact Numbers ............................................................................................................... 28

Appendix B .............................................................................................................................................. 30

Partnership Agencies .......................................................................................................................... 30

Appendix C .............................................................................................................................................. 31

Disaster Resources .............................................................................................................................. 31

Appendix D .............................................................................................................................................. 33

Insurance Policies ................................................................................................................................ 33

Appendix E .............................................................................................................................................. 33

Residential Assessment Form ............................................................................................................. 33

Appendix F .............................................................................................................................................. 34

Basic Resource Package ...................................................................................................................... 34

Appendix G .............................................................................................................................................. 35

Counseling Services Available ............................................................................................................. 35

Appendix H .............................................................................................................................................. 36

Human Resources Vendor List ............................................................................................................ 36

Appendix I ............................................................................................................................................... 37

Preferred Offsite Work Locations ....................................................................................................... 37

Page 5: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

5 | P a g e

Faith Chapel Disaster Recovery Plan General Information This document outlines the Disaster Recovery and Action Plan for Faith Chapel in the event that a

Disaster takes place which results in damage to Faith Chapel facilities and/or employees and members

are impacted. The Disaster Recovery and Action Plan is all inclusive and takes into consideration all

facets of our worship environment which includes adults, students, and children. This plan is broken up

into three phases which are briefly defined below.

Phase 1: Assessment This phase consists of performing the initial assessment of the property and communication attempts

made with employees and members to gather information on their statuses. The initial assessment will

take place within 12 hours of the incident as safety permits.

Phase 2: Response This phase consists of initiating the actions discussed and created during the Assessment Phase. It can

include contacting impacted employees, members, and community, the insurance company, and

gathering facility repair estimates. This phase will take place within 24-36 hours of the incident as safety

permits.

Phase 3: Recovery This phase consists of initiating employee, member, and community recovery. This will include initial

recovery efforts, providing long-term care, and follow-up plans. Please see the Table of Contents for

functional area plans.

Page 6: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

6 | P a g e

Emergency Action Team Role (EAT) The EAT functions and is directed out of the Office of the Executive Pastor

This team plans, prepares, and trains for potential emergency/disaster situations

This team serves as “First Responders” for emergency/ disaster response on Faith Chapel’s

Campuses

Provides direction to other Disaster Recovery Leaders (Incident Commanders)

Meets annually to review Emergency/Disaster Response plan and update as necessary

Incident Commander Role Establishes incident objectives for functional area

Provides overall leadership in the incident and oversees all aspects of preparing for and responding to emergency/disaster situations

Assessment Team Serve as initial response team for employees and members

Data Team Team is activated during Phase 2

Collects information from impacted members to place in database system (Fellowship One)

Case Workers Team is activated during Phase 2

Retrieves information related to impacted members and assign to the Response Team

Responsible for follow through of all assigned cases

Response Team Team is activated during Phase 2

Performs necessary actions needed by those impacted which may include but is not limited to counseling, providing financial resources, or providing emotional support

Page 7: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

7 | P a g e

Teams Breakdown Emergency Action Team (EAT) Below are the members of the Emergency Action Team:

Pastor MD Moore

*Michael K. Moore

Michelle S. Moore

Jermaine Spann

Viyesha Williams

Cherinita Reese

Michelle S. Burney

Debra Blaylock

Inger Triggs

Karen Malone

Alondio Hill

Incident Commanders Below are the Incident Commanders:

*Jermaine Spann – Facility Recovery

Michelle S. Burney– Operations Recovery

Viyesha Williams – Employee Focus

Cherinita Reese – Volunteer/Member Care Focus

Debra Blaylock – Community Focus

Assessment Team *Please note that this team will work directly with EAT and Data Team* Below are the members of the Assessment Team:

*Sharon Charley

Erika Coleman

Cecelia Hall

Rachel Holt

Data Team

Below are the members of the Data Team:

*Erika Coleman (data retrievers)

Cecelia Hall (data retrievers)

Tamarka Burroughs

Sonjanetta Houston

Marie Jackson

Carol Lewis

LaKeshia Pearson

Terri Smith

Page 8: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

8 | P a g e

Case Workers Below are the Case Workers

*Sharon Charley (assign cases)

Brenda Armstrong (assign cases)

Linda Harris

Alondio Hill

Angela Hill

Rachel Holt

Naomi Gordon

Karen Malone

Inger Triggs

Malinda T. White

Response Team

Below are the members of the Response Team

Community Group (to be used for the physical response)

Connie Blaylock

Joseph Harris

Kathleen Rodgers

Arnold Rodgers

Lay Ministers (to be used for counseling and/or hospital visitations)

* Indicates the user’s Sound Connect conference code will be used in the need of conference call with that team.*

Page 9: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

9 | P a g e

Communication Information The following tools of communication will be utilized:

Phone Hotline – 1-844-922-CARE(2273)

Email addresses: [email protected] and [email protected] o The [email protected] will serve as the preferred and primary email address if

Faith Chapel servers are operational. Log-In Information

Username: fc3cares

Password: fc3cares#1

OWA Access: https://mail.worddome.net/owa o The [email protected] will be the preferred email address in the case that Faith

Chapel servers are non operational. Log-In Information

Username: fc3cares

Password: disasterrelief o Assessment Team and members of EAT Team will have access to the above email

addresses.

Mass Communication: Church Cast, Fellowship One, Social Media o All Mass Communication tools should be at “Emergency” communication level which

would include utilizing all forms contact on file for congregants when sending out alerts.

Conference Call Number Established for Team Meetings during Assessment Phase o www.freeconferencecallhd.com o Dial-in Number: 1-559-726-1300 o Host Code: 976553 o Participant Code: 488276 o Playback Number: 1-559-726-1399 o These calls should be recorded to allow different teams the ability to call back and hear

pertinent information shared. o This is a free service so additional codes can be created as needed.

Page 10: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

10 | P a g e

Faith Chapel Disaster Response Plan This plan outlines the response and order of events that Faith Chapel will execute in the event of a

disaster. This plan provides a general overview and details specific to each area will be outlined in the

Functional Area plans detailed in this document.

Phase 1: Assessment See Table of Contents for Detailed Functional Area Plans To be done within 12 hours of incident as safety permits.

Business Assessment

Disaster Incident Occurs

o As a result, Faith Chapel and the surrounding communities are impacted.

Initial Assessment of property and effect of business operations is done within 12 hours of

the weather stabilizing. This assessment is done by the Emergency Action Team (EAT).

Executive Briefing will be performed by the EAT.

o This briefing will include information such as Next Steps, Activation of Incident

Commanders (Functional Area Leads), budget amount for recovery efforts, potential

worship service impact, communication plan to employees, and members, and

efforts that should be directed towards the community.

o Functional Area Leads

Facility Recovery, Business Operations Recovery, Employee Focus,

Volunteer/Member Care Focus, and Community Focus.

As the property and business operations assessment is taking place, the Assessment Team

will begin communication to find out the statuses (are you home safe, if not, what is your

status) of employees.

Employee Statuses

o Mass Communication will be sent to all employees with a directive to respond to

[email protected] or [email protected] or call 1-844-922-CARE (2273)

with their current status.

This status update will be provided to the EAT Team.

Member Assessment

As the property and business operations assessment is taking place, the Assessment Team

will begin the process to find out the statuses of volunteers and members.

Volunteer and Member Statuses

Mass communication will be sent to all volunteers and members with a directive to respond

to [email protected] or [email protected] or call 1-844-922-CARE (2273)

indicating if they are in need or know of a volunteer/member who is in need.

This status update will be provided to the EAT Team.

Page 11: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

11 | P a g e

Community Assessment

Community Focus Incident Commander will utilize local communication tools, partnerships with other local agencies, and a Street Team to gather information on the state of surrounding communities.

Information and recommendation of Faith Chapel’s involvement will be provided to the EAT who will provide direction on which course to pursue.

Phase 2: Response See Table of Contents for Detailed Functional Area Plans To be done within 24-36 hours of the incident as safety permits

Business Response

Direction Provided from the Emergency Action Team (EAT) to Incident Commanders

Facility Incident Commander begins insurance and facility/land assessment process o Communicating with Site Adjustors o Contacting a preferred Construction Crew to begin the facility/land assessment process.

Business Operations Incident Commander begins operational response process. o This will include establishing a recovery work area for Finance, HR, and IT in the event of

damage to FCCC facilities. o This will include communication with weekly service leaders in the event that an

alternate service or cancelled services have to take place due to damage.

Member Response

Volunteer/Member Care Focus Incident Commander begins response process. o Initial status of impacted members will be given to the Data Team by the Assessment

Team.

Data Team will collect additional information from impacted member and enter the items into Fellowship One where it is assigned to a Case Worker.

Case Workers will gather further information, if needed, and assign the cases to the Response Team for action.

Updates are provided by the Response Team to the Case Worker who updates the information in Fellowship One and follow-up on any outstanding items.

Updates will be provided to the Volunteer/Member Care Focus Incident Commander on a daily basis during response efforts by the leader of the Data Team.

Updates will be provided to the EAT on a daily basis during response efforts by the Volunteer/Member Focus Care Incident Commander.

Community Response

Community Focus Incident Commander begins response process.

The Incident Commander will reach out to agencies that Faith Chapel currently has partnerships with to obtain status information and determine potential response opportunities.

The Incident Commander will engage the Data Team to collect information from those impacted in the community.

Page 12: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

12 | P a g e

Data Team will collect additional information from impacted community individual and enter the items into Fellowship One where it is assigned to a Case Worker.

Case Workers will gather further information, if needed, and assign the cases to the Response Team for action.

Updates are provided by the Response Team to the Case Worker who updates the information in Fellowship One and follow-up on any outstanding items.

Updates will be provided to the Community Focus Incident Commander on a daily basis during response efforts by the leader of the Data Team.

Updates will be provided to the EAT on a daily basis during response efforts by the Community Focus Incident Commander.

Phase 3: Recovery See Table of Contents for Detailed Functional Area Plans This phase could possibly last as far as 24 months out after the Disaster Event

Business Recovery

Facility Incident Commander will maintain constant communication with Insurance companies to ensure that all repair work is being performed according to guidelines presented.

o Facility Incident Commander will provide EAT with updates in regards to progress of Faith Chapel facilities.

Business Operations Incident Commander will maintain constant communication with employees to provide updates on workplace temporary location.

Member Recovery

Recovery efforts provided to employees and members will be maintained by the Employee/Member Focus Incident Commander.

Long-Term Care as well as Follow-up plans will be created and implemented by the Incident Commander.

Community Recovery

Recovery efforts provided to the community will be maintained by the Community Focus Incident Commander.

Long-Term Care as well as Follow-up plans will be created and implemented by the Incident Commander.

Page 13: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

13 | P a g e

Faith Chapel Disaster Response Flow Chart

Faith Chapel Christian Center and the Surrounding Community is

Directly Impacted

Initial Assessment done within 12 hours of the

incident as safety permits by the Emergency

Action Team

Assessment Team begins process to find the

statuses of employees and members

Executive Briefing performed by the Emergency

Action Team

Statuses of

Employees and

Membership

provided to the

EAT Team

Faith Chapel Disaster Response

Plan

Disaster Incident

Occurs

Phase 1: Assessment

Incident Commanders activated for Facility Recovery,

Business Operations Recovery ,Employee Focus,

Volunteer/Member Care Focus, Community Focus

Page 14: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

14 | P a g e

Business Operations

Incident Commander

begins operational

recovery process

Data Team collects information from impacted

volunteers/members and community

Case Workers gather further

information and assign the cases to

the Response Team for action

Information is placed in F1 and assigned to a

Case Worker

Updates are provided from the Response

Team to the Case Worker to be updated

in F1

Faith Chapel Disaster Response

Plan cont...Phase 2: Response

Direction Provided from the Emergency

Action Team to Incident Commanders

Facility Incident

Commander begins

Insurance and facility/

land assessment

process

Volunteer/Member

Care Focus Incident

Commander engages

Data Team

Community Focus

Incident

Commander

engages Data

Team

Updates are provided to the Volunteer/

Member Care Focus and Community

Focus Incident Commanders as well as

EAT team on a daily basis.

Page 15: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

15 | P a g e

Faith Chapel Disaster Response

Plan cont...

Facility Incident Commander

execute Recovery

Business Operations Incident

Commander execute Recovery

Plan

Volunteer/Member Care Focus

Incident Commander execute

Recovery Plan

Recovery Efforts Begin

Community Focus Incident

Commander execute Recovery

Plan

Phase 3: Recovery

Updates provided to EAT by Incident Commanders on a

weekly basis

Page 16: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

16 | P a g e

Care Functional Disaster Response Plan This plan outlines the response and order of events that Faith Chapel Care Department will execute in

the event of a disaster that negatively impacts members and employees.

Phase 1: Care Assessment To be done within 12 hours of incident as safety permits

Member Assessment

The Assessment Team will begin the process to find out the statuses of volunteers and

members.

Volunteer and Member Statuses

Mass communication will be sent to all volunteers and members with a directive to respond

to [email protected] or [email protected] or call 1-844-922-CARE (2273)

indicating if they are in need or know of a volunteer/member who is in need.

Phase 2: Care Response To be done within 24 hours of the incident as safety permits.

Initial status of impacted members will be given to the Data Team by the Assessment Team.

Data Team will collect additional information from impacted member and enter the items into Fellowship One where it is assigned to a Case Worker.

o Data Team will utilize an online version of the Residential Assessment Form (See

Appendix E).

o When inputting the information, a crisis code will be used to determine the priority of

the case.

Case Worker Team Leader assigns cases to case workers.

Case Workers assigns cases to the Response Team for case specific follow-up action.

o Employee Cases will be assigned to an HR appointed Response Team worker.

o Resource Package and Financial Needs Specific Response Team workers will be

identified by Case Worker Team Leader.

The Case Worker Team Leader will report how many cases have been entered into Fellowship

One daily to the Volunteer/Member Care Focus Incident Commander.

Page 17: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

17 | P a g e

Phase 3: Care Recovery To be done within 24-48 hours of contacting the impacted

Response Team is grouped (1 staff and 2 Crisis Counselor) or (1 staff and 1 Crisis Counselor).

Response Teams will be equipped with an basic resource package ( see appendix F) to better assist the impacted.

Response Teams will provide additional information and/or follow-up to the Case Worker assigned.

Case Worker will input additional information and/or follow-up in Fellowship One.

Volunteer/Member Care Incident Commander will provide weekly reports to show the progress of the impacted on the road to recovery.

Page 18: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

18 | P a g e

Care Disaster Response Flow Chart

Faith Chapel Care Disaster

Response Flow Chart

Phase 1: Assessment

Assessment Team begins process to find out

statuses of volunteers and members.

Statuses of membership provided to EAT TeamIncident Commander activated to begin execution

of the Care Plan

Incident Commander engages Data TeamPhase 2: Response

Data Team collects information from impacted

employees/members, and community

Case Workers gather further

information and assign the cases to

the Response Team for action

Information is placed in F1 and assigned to a

Case Worker

Updates are provided from the Response

Team to the Case Worker to be updated

in F1

Updates are provided to the Community

Focus Incident Commanders as well as

EAT team on a daily basis.

Phase 3: Recovery

Response Teams will provide updates to

Case Workers

Response Team is grouped into smaller

teams and equipped with resource packages

for distribution

Case Workers update F1 and provide

updates to Incident Commander and EAT

team.

Page 19: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

19 | P a g e

Human Resources Functional Disaster Response Plan Emergency response had ended, business recovery now begins. HR Preparedness for this: consist of reviewing current policies and make sure they reflect our organization’s need to accommodate leave of absences, pay, benefits, communication, and equipment. Also, understand the compliance issues such as ADA and reasonable accommodation.

Priority #1 Critical Staffing HR Director or designee participate in discussions that consider:

o Explore personnel, position and duty realignment based on an assessment of the disaster

Determine schedules of personnel and workflow procedures Determine methods of employee functionality (satellite locations,

telecommuting, split shifts, etc.) o Review the above steps frequently to evaluate the need for modifications based on an

evolving/ unpredictable matter.

Priority #2 – Employee Health HR Representative(s) will weekly assess affected employees until they are physically and

emotionally restored to their previous state before the disaster. o Personal emotional well-being

Determine if paid-rest options should be utilized due to stress levels Refer to available counseling options which may include

Staff Counselors ( i.e. Alondio Hill, Connie Blaylock, Angela Hill, etc…)

Guardian’s EAP services by calling 1.800.386.7055 o Personal physical well being or injuries (i.e. follow ADA compliance) o Work related physical well being or injuries (i.e. follow Workman’s Compensation

compliance)

Priority #3 - Processing Payroll Assigned personnel will gather all necessary documents and contact ADP at 1-800-927-4789 to

navigate through processing payroll.

If needed, coordinate alternative processing needs with a Finance Representative.

Page 20: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

20 | P a g e

Priority #4 – Bill payments Assigned personnel will refer to Appendix H for preferred HR Vendor List.

If needed, coordinate alternative processing needs with a Finance Representative.

Page 21: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

21 | P a g e

Facilities Functional Disaster Response Plan This plan outlines the response and order of events that Faith Chapel will execute in the event of a

disaster that result in damage to any of Faith Chapel’s facilities.

Phase 1: Facility Assessment Disaster Incident Occurs

o As a result, Faith Chapel and the surrounding communities are impacted.

Initial Assessment of property and effect of business operations is done within 12 hours of

the incident as safety permits. This assessment is done by the Emergency Action Team

(EAT).

Direction received from the EAT

o Incident Commander activation

o Release to contact preferred construction company for facility/land assessment

o Budget amount for any immediate facility repairs that may be required

Incident Commander contacts preferred construction company to perform a full facility/land

assessment.

o This will include written, photographed, and video documentation to illustrate proof

of property loss.

After initial assessment, the insurance process will begin

o Incident Commander refers to insurance policies to contact the insurance agent and

Site Adjuster.

Faith Chapel can reach out to reputable companies to begin to gather

estimates for repair work.

Permanent repairs are not made at this time

Temporary small repairs may be made to prevent further damage. All

receipts and documentation will need to be maintained and organized for

submittal to the Insurance Company.

o Incident Commander refers to policies to contact the Content Management

Company.

Faith Chapel should follow instructions received from the Content

Management Company and merge them with any instructions received

from the Insurance Company.

Page 22: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

22 | P a g e

Phase 2: Facility Response Upon approval of claims submitted, Faith Chapel will move forward with recovery efforts.

The Incident Commander will provide estimates received to EAT along with a recommendation

of which company to move forward with.

Once approved by the EAT, the Incident Commander will work with the selected company to

repair damages incurred.

Updates will be provided to the EAT on a weekly basis during recovery efforts by the Incident

Commander.

The Incident Commander will be responsible for maintaining all invoices, receipts, and

documentation to be presented to the Insurance Company.

Phase 3: Facility Recovery Facility Incident Commander will maintain constant communication with Insurance companies

to ensure that all repair work is being performed according to guidelines presented.

Facility Incident Commander will provide EAT with updates in regards to progress of Faith

Chapel facilities

Page 23: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

23 | P a g e

Facilities Disaster Response Flow Chart

Incident Commander contacts preferred

construction company to perform assessment

Contact Content

Management Company

Direction Received from EAT which will include Incident

Commander appointment, budget for temp repairs, and release

to begin full facility/land assessment

Initial Assessment of Property Made

Refer to insurance documents and policies

included within the Disaster Policy to begin

contact.

Begin to gather

estimates for repair

work

Contact Insurance

Company

Make temporary small

repairs to prevent further

damage.

Faith Chapel Facilities

Disaster Response Flow

Chart

Begin to work with Onsite

Adjuster

Dependent on

claim status move

forward with

recovery efforts

Follow Instructions received

and merge with instructions

received from Insurance

Company

Phase 1: Assessment

Page 24: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

24 | P a g e

Faith Chapel Facilities

Disaster Response Flow

Chart cont...Phase 2: Response

Claim Approval Received from Insurance

Company

Estimates and recommendation provided

to EAT

Incident Commander maintain all

documentation

Approval received from EAT

Incident Commander provide

updates to EAT on a weekly basis

Incident Commander works with

approved company to repair damages

Page 25: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

25 | P a g e

Operations Functional Disaster Response Plan This plan outlines the response and order of events that Faith Chapel will execute in the event of a

disaster that result in damage to any of Faith Chapel’s facilities and temporary work space is needed for

core groups.

Phase 1: Operations Assessment Disaster Incident Occurs

o As a result, Faith Chapel and the surrounding communities are impacted.

Initial Assessment of property and effect of business operations is done within 24 hours of

incident as safety permits. This assessment is done by the Emergency Action Team (EAT).

Direction received from the EAT

o Business Operations Incident Commander appointment

Incident Commander begins to initiate mass communication plan

o This will include communication to all employees and members utilizing mass

communication tools.

o Tools used will be local news and radio stations, Church Cast, Social Media, and

Faith Chapel’s Website.

Business Operations Incident Commander contacts Facilities Incident Commander to receive

status of business offices and what is and is not operational.

o The core groups that temporary workspaces will be created for are Finance, Human

Resources, and Information Technology.

Phase 2: Operations Response Work Space Recovery

Administrative Offices Damaged

o Incident Commander will coordinate with Information Technology and the Core groups

to establish a temporary work space at the Bridge.

Human Resources will be set up in Green Room #2

Finance will be set up in Room 126

Information Technology will have the ability to have a stable location Room 127

along with floater capabilities to handle any issues.

All remaining employees will utilize the Venue as a work area.

Page 26: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

26 | P a g e

Word Dome/The Bridge Damaged

o Damage at this location may result in loss of server capabilities which will reflect in

severely diminished functions and capabilities at the Administrative Offices.

o In the instance that the Administrative Office is fully functional, all workers will be

relocated to the Administrative Office.

o In this instance that the Administrative Office is not functional, the organization will

seek an alternative offsite location for work space recovery.

o Please see Appendix I for preferred offsite work locations.

o Incident Commander will maintain constant communication with the Information

Technology employee to receive updates on when staff will be able to return onsite.

Page 27: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

27 | P a g e

Operations Disaster Response Flow Chart

Faith Chapel Operations

Disaster Response Flow

Chart

Phase 1: Assessment

Initial Assessment of Property Made

Direction Received from EAT which will include

Incident Commander appointment and any

budget amount related to Operations.

Incident Commander begins mass

communication plan

Business Operation Incident Commander

contacts Facilities Incident Commander to

receive status of business offices

Set up and communication of temporary

workspaces for staffPhase 2: Response

Page 28: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

28 | P a g e

Appendices

Appendix A

Important Contact Numbers

Name Company Contact

Number

Email Address Industry

Todd Fredella

Policy#

PHPK1091516

Regions 205-264-7509 [email protected] Insurance

Representative

Customer

Service

Alabama

Power

1-800-888-

2726/Report an

Outage

1-888-430-

5787/Business

Customer

Service

Electricity

Customer

Service

Graysville Gas

and Water

205-674-5643 Unincorporated

Jefferson County Gas

and Water

Customer

Service

Alagasco 1-800-292-4008 Birmingham Gas

Customer

Service

Birmingham

Water Works

205-244-4000 Birmingham Water

Works

Customer

Service

Fire Station

#17

Lexington

Street

205-254-2052 Fire Station

(Birmingham/Campus

B)

Customer

Service

Minor Heights

Fire

205-787-5540 Fire Station (Minor

Heights/Campus A)

Page 29: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

29 | P a g e

Department

Inclement

Weather

Notification

Fox 6 News 205-583-4333 Code: 2173 News Station

Inclement

Weather

Notification

ABC 33/40 205-982-3970 Code: Stormchaser News Station

Inclement

Weather

Notification

NBC 13 205-558-7311 Code: Education Matters News Station

Inclement

Weather

Notification

CBS 42 205-322-4665 Code: Webster News Station

Page 30: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

30 | P a g e

Appendix B

Partnership Agencies

Agency Contact Person and/or

Website

Contact Number

American Red Cross www.redcross.org 205-458-8282

United Way www.uwca.org 205-251-5131

Christian Service Missions www.csmisison.org 205-252-9906

Page 31: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

31 | P a g e

Appendix C

Disaster Resources

Agency Email Phone Number

Additional Information

FEMA

www.fema.com 1-800-621-FEMA

1. FEMA comes into an area that is a federally declared disaster area

2. The FEMA VAL (Volunteer Agencies Liaison) connects Volunteer Organizations to FEMA information, processes and procedures

Jefferson County EMA www.jeffcoema.org 205-254-2039 1. Contact them to notify of dangerous/hazardous situations and they will send out proper teams such to set up things like barricades

*211 211 1. General Help number to get information on who to contact in the area for different needs that arise during a disaster

2. Provides info on health and human services in an emergency

UMCOR (United Methodists Committee on Relief)

www.Gbgm-umc.org/umcor 212-870-3951 1. Contact UMCOR regarding resources and Disaster Response trainings

Jefferson County VOAD (Volunteer Organizations Active in Disasters)

Voadjeffco.webx.com/members Ann Haden - VOAD President 205-942-1211

1. Volunteer Organizations in the Jefferson County Area connected to serve and work together

2. This is a valuable networking, informational, and resource tool

Hope Crisis Response Network

www.hcrn.info Kevin Cox – CEO – 1-888-909-HCRN (4276)

1. Assists in coordination and deployment of volunteers, resources, and financial assistance

2. Advocates to help organizations and agencies connected to storm

Page 32: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

32 | P a g e

survivors 3. Mentors and mediates

organizations during disaster relief

4. Assists in devising and implementing post-disaster long term recovery plans for local communities

Central Alabama Birmingham Weather Forecast Office

WWW.SRH.weather.GOV/BMX

205-664-3010

American Red Cross www.redcross.org Birmingham office – 205-458-8282

1. Trainings for CPR, Sheltering, Volunteering, etc.

2. Information, resources, etc

Alabama Governors Hurricane/Tornado Conference

Google for dates and times

Page 33: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

33 | P a g e

Appendix D

Insurance Policies

Insurance Information

Claim Information

If the claim is denied, Faith Chapel has the right to appeal to a Claims Manager or Executive.

If the claim is still denied after the appeal, Faith Chapel may seek assistance

from Legal Counsel.

If the claim is partially approved (will not cover the total loss), Faith Chapel may submit an

application to the Small Business Administration through FEMA to cover the remaining

costs.

If the claim is fully approved, Faith Chapel will move forward with recovery efforts.

Appendix E

Residential Assessment Form

See Forms at the end of Document

Page 34: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

34 | P a g e

Appendix F

Basic Resource Package

1. $250 in gift cards for a family size of 2 and $100 more in gift cards for each additional person (ex;

Family of 5 will receive $550.00) Gift Cards will be Wal-Mart and Gas Card.

2. Disaster Recovery Guide (including contacts, emergency info, resource info, “how to recover”, etc.)

All in one document that they can use as a reference.

3. Basic Initial Care Response Package could include basic toiletries (soap, toothbrush, toothpaste, deodorant, wash cloth, shampoo, etc…).

These items can also be obtained through Christian Service Missions

4. MP3 for Teens

5. Examples of types of resources for Pre-school and 3rd-6th grade

Drawstring backpack including: Parent’s Guide to Talking with Their Child(ren), a

journal/tablet, mechanical pencil or pen, crayons (most children write/draw to express their

feelings/emotions), small blanket, etc…

3rd-6th Graders (MP3 or portable gaming device that requires no purchased downloads)

K-2nd Graders (a doll for girls/ Super-Hero action figure for boys)

Infants – 4 yr. olds (stuffed animal or soft toy, small blanket)

Consider partnering with companies (McDonalds, Chick-Fil-A, etc.) to add coupons for FREE

meals or treats.

Page 35: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

35 | P a g e

Appendix G

Counseling Services Available

Disclaimer: These resources are not a referral list and do not endorse the qualifications or credentials of any person

here holding themselves out as a counselor, psychiatrist, psychologist, or other mental health

professional. The author of this list is not responsible for outcomes with any provider herein listed. Any

reputable professional will be more than happy to provide you with information concerning their

training, experience, and Christian approach to practice.

Name: Contact Number: Email Address

Personal Relationships, Inc

205-979-6822 www.personalrelationships.com

Wells Spring Clinic 205-977-3003 www.wellspringchristian.com

Briarwood Presbyterian Church

205-776-5200 www.Brairwood.org/counseling

Pathways Professional Counseling

1-866-991-6864 www.Pathwaysprofessional.org

Covenant Counseling 205-879-7500 www.Covenantcounseling.com

National Suicide Prevention Hotline

1-800-273-TALK (8255) www.suicidepreventionlifeline.org

Page 36: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

36 | P a g e

Appendix H

Human Resources Vendor List

Human Resources Vendor List

Name Service Description Contact Person/ Department

Group Number/ ID

Contact Number

website

Automatic Data Processing (ADP)

HRIS Database/ Payroll System

Customer Support Services

C9U- Service Center 30

1-800-927-4789

portal.adp.com

Blue Cross Blue Shield of Ala.

Medical Insurance Provider

Customer Service 81470 1-800-292-8868

www.bcbsal.org

Employer's Claim Management (ASIWCF)

Worker's Compensation Provider

Shay Forbus 1-06268-113 1-334-277-93-95

www.employersclaim.com

Guardian Dental/Vision/STD & LTD/ Critical Illness/Voluntary Term Life

Customer Service 451023 1-800-627-4200

www.guardiananytime.com

Guidestone Financial Resources

403B Provider Chris Elkins Retirement #: 13557 Insurance #: 73972

1-214-720-2185

www.guidestone.org

Regions Insurance Benefits Administrators

Stacey Gaspard/ Preston Francis

N/A 1-601-790-8542

N/A

St. Vincent's Occupational Health

Company Worker's Compensation Physicians

Customer Service N/A 1-205-930-2600

N/A

TASC Flexible Spending Account Provider

Customer Service 4103-8913-3984

1-800-422-4661

www.tasconline.com

TASC Flex Corp Cobra Administration Provider

Customer Service 4103-8913-3984

1-866-571-9704

www.tasconline.com

Page 37: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

37 | P a g e

Appendix I

Preferred Offsite Work Locations

Utilization of the website www.liquidspace.com to search workspace options.

Facility Name Phone Location Meeting Rooms

Maximum Capacity

Sheraton Hotel 2101 Richard Arrington Jr. Boulevard North, Birmingham, AL 35203

205-324-5000 Downtown 1,500

Birmingham Jefferson Convention Complex 2100 Richard Arrington Jr. Blvd. North, Birmingham, AL 35203

205-458-8400 Downtown 1,100

Medical Forum Conference Center 950 22nd Street North # 200, Birmingham AL 35203

205-458-8800 Downtown 275

Wynfrey Hotel 1000 Riverchase Galleria Birmingham, AL 35244

205-987-1600 South 1,200

Bessemer Civic Center 1130 9th Avenue SW, Bessemer, AL 35022

205-424-7469 West 1,200

Harbert Center 2019 4th Avenue North, Birmingham, AL 35203

205-226-8800 Downtown 316

Cahaba Grand Conference Center 3660 Grandview Parkway, Birmingham, AL 35243

205-443-6767 South 1,400

Birmingham Public Library 2100 Park Place, Birmingham, AL

205-226-3600 Downtown 100

Hoover Public Library 200 Municipal Drive, Birmingham, AL 35216

205-444-7800 South 100

Homewood Public Library 1721 Oxmoor Road, Birmingham, AL 35209

205-332-6600 South 200

Pelham Civic Center 500 Amphitheater Road, Pelham, AL 35124

205-620-6448 South 200

Page 38: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

FAITH CHAPEL CHRISTIAN CENTER - EMPLOYEE Phone Info

VOICEMAIL 30000 Dial 380‐6190 (#, ext, pin#)

380‐8626 September 2Williams, Viyesha 10045 451‐0534 276‐3340 380‐8638 April 15

Name Extension Direct Line Cell Phone Fax Number BirthdayAgee, Linda Arnold 43202 451‐0801 983‐2097 N/A March 9Alexander, Tan 10039 949‐4433 706‐6660 380‐8650 September 6

Anderson, Monteray 10026 451‐0528 249‐7332 380‐8604 October 27Anderson, Willie 10032 451‐0531 382‐1632 380‐8615 June 11

Armstrong, Brenda 10062 949‐4430 602‐4401 380‐8613 May 31Blaylock, Connie 10004 380‐6195 533‐5079 380‐8632 December 3Blaylock, Debra 10002 380‐6192 533‐5081 380‐8634 July 22Boone, Lionel 10070 451‐0538 646‐596‐5873 380‐8642 October 26

Burney, Michelle S. 10075 451‐1286 223‐4137 380‐8662 November 5Burroughs, Tamarka 10017 380‐3385 541‐3380 380‐8649 October 18Charley, Sharon 10048 451‐1279 365‐0101 380‐8657 March 24Clark, Baxter 43000 380‐2990 234‐1173 N/A January 27Coleman, Erika 10035 380‐6200 563‐6569 380‐8616 September 21Cross, Leslie 10077 451‐0536 837‐8208 380‐8663 February 25Curry, David 43201 451‐0796 256‐493‐8731 380‐8624 March 28Gage, Chandra 10037 380‐3387 617‐6238 380‐8630 May 17Gage, Wayne 10047 949‐4439 533‐5986 380‐8656 April 12Gordon, Naomi 10011 380‐6197 533‐5085 380‐8633 December 19Green, Abigail 10012 380‐6199 256‐339‐0187 380‐8618 March 27Hall, Cecelia 10013 380‐6212 541‐0176 380‐8603 September 28Harris, Joseph 10067 949‐4431 533‐5415 380‐8647 January 10Harris, Linda 43113 451‐0803 527‐4092 380‐8651 January 25

Hendrix, Ernest 43202 451‐0801 276‐9733 N/A February 11Hill, Alondio 10003 380‐6194 533‐5080 380‐8635 August 18

Hill, Angela (VM) 10031 N/A 541‐0154 N/A September 24Holden, Andrew 10059 949‐4427 256‐694‐5450 380‐8644 Novermber 19Holt, Rachel 10056 451‐1275 821‐0544 380‐8655 January 24

Houston, Sonjanetta 43111 451‐0793 533‐5709 380‐8630 February 7Hunter, Michael 43202 451‐0801 718‐6074 N/A February 19Jackson, Marie 43000 380‐2990 383‐5407 380‐8648 June 19Kenty, Ernest 10069 451‐1278 936‐5874 380‐8658 October 10

Kirkpatrick, Lorenzo 10063 451‐0539 585‐0611 380‐8643 February 26Lewis, Carol 10801 N/A 215‐3796 N/A August 10

Lockhart, Andrea (Ann) 20803 N/A 960‐5503 N/A March 25Malone, Karen 10060 949‐4428 515‐3198 380‐8645 June 21Martin, Ronald 10061 949‐4435 527‐1907 380‐8652 May 17Mays, Antoinette 10041 380‐3378 563‐5965 380‐8623 January 29McCall, Ronnie 10072 949‐4423 296‐7211 380‐8639 April 4Miller, Herman 10073 451‐1294 902‐4103 380‐8660 May 18Moore, Kennetha 43112 380‐3380 533‐5078 380‐8629 February 24Moore, Michael D. 10006 380‐6209 368‐0897 380‐8628 December 13Moore, Michael K. 10023 451‐0521 447‐2672 380‐8627 August 31Moore, Michelle S. 10008 380‐6201 821‐8867 380‐8607 August 4Moore, Tiffany 43405 451‐0805 585‐0645 380‐8631 April 5

Morrow, Barbara (VM) 20803 N/A 641‐4314 N/A February 17Morgan, Willie 43000 380‐2990 585‐7102 N/A September 18Nixon, Daniel 10042 451‐0529 790‐2521 380‐8621 September 1Owens, Toi 10071 451‐1293 540‐7537 380‐8661 October 4

Pearson, Lakeshia 10020 451‐0524 243‐8068 380‐8605 September 13Ray, Lauretta 10000 785‐9673 223‐0568 785‐9995 September 21

Reese, Cherinita 10043 451‐0530 533‐5392 380‐8609 August 31Reynolds, Priscilla 10040 451‐0527 903‐7052 380‐8622 November 3Rodgers, Arnold 10024 451‐0522 533‐5083 380‐8610 October 9Rodgers, Kathleen 10053 949‐4429 253‐4073 380‐8646 September 10Rogers, Corey T. 10044 451‐0533 563‐0240  380‐8636 July 24Smith, Andrea 20803 N/A 514‐9498 N/A February 8Smith, Terri D. 10066 949‐4422 492‐2848 380‐8640 August 27Spann, Jermaine 43114 451‐0802 243‐0754 380‐8641 May 10Spencer, Delandra 43000 380‐2990 873‐4918 N/A March 6

Taylor, Kevin 10005 949‐4420 253‐9205 380‐8619 March 15Terry, Cortland 10028 380‐3379 821‐6578 380‐8620 September 8Thomas, James 10014 949‐4424 873‐4777 380‐8637 May 30Thomas, Wilma 10021 380‐3395 420‐1125 380‐8606 July 4Triggs, Inger 10001 380‐6191 218‐8282 380‐8611 May 26

Washington, James 43202 451‐0801 452‐9089 380‐8659 September 18White, Malinda T. 10007 380‐6202 533‐5086

Page 39: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

FAITH CHAPEL CHRISTIAN CENTER RELIEF CENTER

VOLUNTEER IN-TAKE FORM

NAME: __________________________ PHONE: ________________ (home) ________________ (cell)

EMAIL: _____________________________________________

What is the best way for us to contact you? Home Phone Cell Phone E-mail

What is the best time of day for us to contact you? Mornings Afternoons Evenings

If you would like to donate your time or resources to those who have been affected by the storms,

please indicate how you can be of assistance below. Thank you!

DONATIONS

I wish to donate:

Housing Transportation Legal Services Other ____________________

For those wishing to donate food or toiletries, please bring your items to The Bridge, M – Sat, 9 am – 6 pm

Days available to serve (circle one): Mon. Tues. Wed. Thu. Fri. Sat. Sun.

Times of day you can serve: ____ ____ ____ ____ ____ ____ ____

Range of time you can serve: Within next four weeks 6-12 months 3-5 years

SKILLS (CHECK ALL THAT YOU CAN SUPPLY):

Debris Removal Teams Medical Teams Volunteer Teams Assessment Teams / Reassessment Team Follow Up Teams Debris Removal Teams (chainsaws/trucks/tools/etc.) Medical Teams Meal/Toiletry Deliver Teams Drivers to transport residents in need

Attorney Teams – help with ID paperwork recovery

Donation In-take/Inventory/Distribution Laundry Teams to wash clothes for residents

Moving In/Out Teams Telecommunications/IT Team assist with getting families phone & internet usage

Clerical Team Facilities Team (Parking/Security/Traffic) Administrative Team

Page 40: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

This form is to help us identify the needs of individuals and families who have been affected by the recent storms. Your completed form will allow us to assist you in various ways (i.e. through supplying food or getting you to the right resources and information). Please note, this is not saying that we will provide all the below items. However, we may be able to connect you to the right information and resources.

FAITH CHAPEL CHRISTIAN CENTER RELIEF CENTER RESIDENTIAL ASSESSMENT FORM

Date:

Name: Address: Home Phone: Cell Phone: Work Phone:

What is the best way for us to contact you? Home Phone Cell Phone Work Phone

What is the best time of day for us to contact you? Mornings Afternoons Evenings

Are you a member of Faith Chapel Christian Center? YES NO

Number of Family Members: _______

Did you sustain a total loss of your home? YES NO

If not a total loss, are you able to live in your home? YES NO

Have all family members been accounted for? YES NO

WHAT NEEDS DO YOU HAVE? FOOD: Hot Meals Pantry Items Other: _____________________________

MEDICAL NEEDS:

Prescriptions Medical Equipment Other, specify ____________________________

COMMUNICATION NEEDS:

Cell Phone Usage Computer Access for filing claims, etc.

ID REPLACEMENT ASSISTANCE:

Driver’s License Birth Certificate Insurance Cards Deeds

DO YOU NEED INFO REGARDING THE FOLLOWING? Mail Services FEMA Reporting Missing Persons Other_________________

WHAT ARE YOUR TRANSPORTATION NEEDS? To work To appointments To Relief Center To School

Did you lose employment? YES NO Do you need a place to shower? YES NO Do you need housing? Overnight Temporary Long Term Do you need debris removal assistance? Yes No

I need assistance to help pay bills (such as medical bills, etc): YES NO

What other supplies do you need? Toiletries Baby supplies Blankets/Clothing Other __________________

Would you like counseling for yourself or any family members regarding this tragedy? YES NO

Page 41: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

This form is to help us identify the needs of individuals and families who have been affected by the recent storms. Your completed form will allow us to assist you in various ways (i.e. through supplying food or getting you to the right resources and information). Please note, this is not saying that we will provide all the below items. However, we may be able to connect you to the right information and resources.

FAITH CHAPEL CHRISTIAN CENTER RELIEF CENTER PUBLIC SCHOOL STUDENT ASSESSMENT FORM

Please complete BOTH sides and return this form to your child’s teacher TOMORROW. Thank You!

PLEASE PRINT CLEARLY AND COMPLETE ONE FORM PER HOUSEHOLD. Date: School Name:

Child’s First & Last Name Current

Age/Grade

School Name Homeroom Teacher

Mother’s First & Last Name: _______________________________________________________________________________

Current Address: ________________________________________________________________________________________

Home Phone:______________________ Cell phone: ______________________ Work Phone: _______ _

What is the best way for us to contact you? Home Phone Cell Phone Work Phone

What is the best time of day for us to contact you? Mornings Afternoons Evenings

Father’s First & Last Name: _______________________________________________________________________________

Current Address: ________________________________________________________________________________________

Home Phone:______________________ Cell phone: ______________________ Work Phone: _______ _

What is the best way for us to contact you? Home Phone Cell Phone Work Phone

What is the best time of day for us to contact you? Mornings Afternoons Evenings

Number of Family Members: _______

Did you sustain a total loss of your home? YES NO

If not a total loss, are you able to live in your home? YES NO

Have all family members been accounted for? YES NO

Are you a member of Faith Chapel Christian Center? YES NO

*Providing this information does not alter the services we will provide for you and your family.

Page 42: Faith Chapel Disaster Recovery and Action Planstatic.squarespace.com/static/53a2dbeae4b0097de... · Retrieves information related to impacted members and assign to the Response Team

This form is to help us identify the needs of individuals and families who have been affected by the recent storms. Your completed form will allow us to assist you in various ways (i.e. through supplying food or getting you to the right resources and information). Please note, this is not saying that we will provide all the below items. However, we may be able to connect you to the right information and resources.

FAITH CHAPEL CHRISTIAN CENTER RELIEF CENTER PUBLIC SCHOOL STUDENT ASSESSMENT FORM

Please complete BOTH sides and return this form to your child’s teacher TOMORROW. Thank You!

WHAT NEEDS DO YOU HAVE?

FOOD: Hot Meals Pantry Items Other(please specify): _________________________________

______________________________________________________________________________________________________

MEDICAL NEEDS:

Prescriptions Medical Equipment Other (please specify) _______________

______________________________________________________________________________________________________

ID REPLACEMENT ASSISTANCE:

Driver’s License Birth Certificate Insurance Cards Deeds

DO YOU NEED INFO REGARDING THE FOLLOWING? Mail Services FEMA Reporting Missing Persons Other________________________

WHAT ARE YOUR TRANSPORTATION NEEDS? To work To appointments To Relief Center To School

Did you lose employment? YES NO Do you need a place to shower? YES NO Do you need housing? Overnight Temporary Long Term Do you need debris removal assistance? Yes No

What other supplies do you need? Toiletries Baby supplies Blankets/Clothing Other __________________

Would you like counseling for yourself or any family members regarding this tragedy? YES NO

PLEASE LIST ANY ADDITIONAL INFORMATION OR QUESTIONS YOU MAY HAVE:

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________