Daily Shelter Report                                                                                      
  
Date     Incident/ DR #    Shelter Name/County  
SHELTER INFORMATION
Shelter Address
Shelter Phone Number (s)
  
SHELTERING STAFF
POSITION NAME PHONE
 Shelter Manager
 Day Shift Supervisor
 2nd Shift Supervisor
 Night Shift Supervisor
Total Number of Sheltering Workers 
 Day Shift   2nd Shift   Night Shift  
OTHER FUNCTIONS OR ACTIVITIES STAFF
# Disaster Health Services   # Casework and Recover Planning  
# Disaster Mental Health   # Feeding  
# Disaster Spiritual Care   Other    #  
SHELTER POPULATION
Age Groups (years) 0-3 4-7 8-12 13-18 19-65 65 +
Nighttime Population Submitted Last Night
Daytime Population Today
Total NEW Shelter Dormitory Registrations Since Last Night:  
OPERATIONAL REPORTING

  Breakfast

  Lunch

  Dinner

  Snacks/ Drinks

  Cots

  Blankets

  Comfort Kits

  Clean-up Kits

  Other Bulk Items

  Signage Kits

# Used Today
# Available  Tomorrow
# Needed Tomorrow
NOTES
Preparer Name:     Preparer Signature:
Adapted from National Mass Care Strategy
  DCS JT RES Daily Shelter Report V.1.0 2016.07.18
   Modified from the Winlink Daily Shelter_Report