Disaster Intake & Triage

How HSCVS receives, screens, and routes disaster‑impacted individuals and households at shelters, DRC‑style sites, mobile outreach, and by phone, aligned with VOAD Disaster Casework/Case Management guidance and partner expectations. [web:267]

Document: SOP‑OPS‑INT‑001

Version: 1.0

Effective: March 28, 2026

Review: March 28, 2027

Owner: Director of Operations

Approved by: Joseph Ryan, CEO

Service area: FL, MS, PA, LA

EIN: 41‑2961092

Aligned with VOAD Disaster Casework & Case Management POC DRC & LTRG‑friendly intake structure Supports HUD/VA/FEMA referrals & privacy Field‑ready intake & triage tools

Triage checklists

Quick reference for intake workers & leads

Intake worker quick checklist

Introduce yourself and HSCVS; explain purpose of intake and how information will be used. [web:267]
Check for immediate safety or medical emergencies; call 911 if needed. [web:269][web:277]
Gather core household and contact info using DIS‑INT‑01.
Listen for key impacts: housing, income, health, support network, and special vulnerabilities.
Assign triage level (1–4) and document brief rationale.
Provide immediate referrals and information; schedule or refer for casework/DCM as indicated.

Intake & Triage Lead daily checklist

Ensure intake forms, pens, and privacy‑appropriate space are available at all intake points.
Brief staff/volunteers on triage criteria, partner resources, and any changes in programs.
Confirm data flow to casework/DCM teams and timely assignment of high‑priority cases.
Monitor wait times and adjust staffing to reduce delays for high‑priority survivors.
Review a sample of intakes each day for quality and completeness; provide coaching as needed. [web:270]

Appendix A – Disaster intake forms

Short and full intake & triage forms

DIS‑INT‑01 (short) DIS‑INT‑02 (full)

DIS‑INT‑01 — Disaster Intake & Triage Form (short)

Date Time Site / Location Intake Worker Name

Head of Household Name Best Phone Email Preferred Language

Household Address (pre‑disaster) Current Location (where staying now) # Adults # Children (under 18)

Brief description of disaster impact Immediate needs (today/this week) Existing supports

Triage Level (1–4) Reason for level (short note) Referred to Follow‑up date/time (if scheduled)

Consent: I understand that HSCVS will use this information to help connect me with services and may share it with partner agencies as needed for my recovery, consistent with privacy laws and agreements.

DIS‑INT‑02 — Full Disaster Intake & Assessment

Date Time Site / Location Intake Worker

Head of Household Date of Birth Primary Phone Alternate Phone Email Preferred Language

Pre‑disaster address County Current address / location Current housing situation

Household composition (names, ages, relationships)

Household members with disabilities or serious health conditions Veteran / service connection status

Detailed disaster impact (property, belongings, employment, transportation) Insurance and benefits Income and employment impacts Top three priority needs (client words)

Triage level (1–4) Triage notes / risk factors Service pathway Assigned worker / program

Planned next steps / initial action plan

Consent: I understand that HSCVS and its partners may use this information to help plan and coordinate services for my household’s disaster recovery, consistent with privacy laws and data‑sharing agreements.

`; } function initForm(config){ const formBox = document.querySelector(config.selector); if(!formBox) return; const form = formBox.querySelector('form'); const status = formBox.querySelector('.status-line'); const key = config.storageKey; function showStatus(msg){ if(status) status.textContent = msg; } function saveToLocal(){ try{ const data = collectData(form); localStorage.setItem(key, JSON.stringify(data)); showStatus('Saved in this browser at '+new Date().toLocaleTimeString()+'.'); }catch(e){ showStatus('Could not save to this browser.'); } } function loadFromLocal(){ try{ const raw = localStorage.getItem(key); if(!raw) return; const data = JSON.parse(raw); applyData(form, data); showStatus('Draft loaded from this browser.'); }catch(e){ // ignore } } function downloadForm(){ const html = buildDownloadHtml(formBox, formBox.getAttribute('data-form-title')); const blob = new Blob([html], {type:'text/html'}); const url = URL.createObjectURL(blob); const a = document.createElement('a'); a.href = url; a.download = config.downloadName || 'completed-form.html'; document.body.appendChild(a); a.click(); a.remove(); setTimeout(()=>URL.revokeObjectURL(url), 1000); showStatus('Download started for this form.'); } function printForm(){ document.body.classList.add('print-mode'); const cleanup = ()=>{ document.body.classList.remove('print-mode'); window.removeEventListener('afterprint', cleanup); }; window.addEventListener('afterprint', cleanup); window.print(); setTimeout(cleanup, 1200); showStatus('Print opened for this form.'); } formBox.querySelectorAll('[data-action]').forEach(btn=>{ btn.addEventListener('click', ()=>{ const action = btn.getAttribute('data-action'); if(action==='save') saveToLocal(); if(action==='print') printForm(); if(action==='download') downloadForm(); }); }); loadFromLocal(); } FORM_CONFIG.forEach(initForm); })();