Clients Affected by a Catastrophe | Hill Country Family Services

Today's date/ Fecha*

Head of Household Name/ Nombre Completo:*

First Last

Hill Country Family Services is committed to distributing the funds we receive from different donors in a fair way to our clients. To better serve you, we need your collaboration by being as honest as possible with your finances so that we can assess your immediate needs and help you in the best way possible.

Have you been Directly affected by a catastophe? / Se ha vista directamente afectado por un catáatrofe?

If yes, please briefly explain how you have been directly affected / En caso affirmative, explique brevemente cómo se ha afectado directamente.

Did you or someone in your household lose their job because of catastrophe? / Usted o alguoien en su hogan perdió su trabajo a la catástrofe?

How many people in your household are unemployed due to catastrophe? / Cuántas personas en su hogan están desempleadas debit a lo catástrofe?

If yes, please explain the reason for losing your job / En Casons affirmative, for favor explique emotive de la pérdida de su trabajo.

Did you receive any funds through a government entity or non-profit organization do to this catastrophe? / Recibió condos a través uno enticed gubernamental debido a esta catástrofe?

If yes, when? / En Caso afirmativo, cuándo?

If yes, how much? / En Caso afirmativo, cuánto?

Have you Recently applied for unemployment benefits? / Ha solicitado recientemente beneficios de desempleo?

If no, why have you not applied? / Si no, Pro qué no ha solicitado?

***Definition of Catastrophe by FEMA***...any natural or manmade incident. Including terrorism, that results in extraordinary levels of mass casualties, damage, or disruption severely affecting the population, infrastructure, environment, economy, natural morale and/or government functions.' Department of Homeland Security Response Framework Chapter 2: Response Actions, 42. Available at http://www.fema.gov/pdf/emergency//nrf-core.pdf

SUBSCRIBE TO

OUR NEWSLETTER

Latest News

HCFS Newsletter – COVID-19 Response & Updates

Boerne Restaurants, Nonprofits Feeling Impacts of COVID-19 in Community

Quick Links