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COAD Information Collection Form

  1. COAD Logo--website.jpg
  2. Information Collection Form
    Use this form to provide the Spokane COAD with the resources and mission of your organization. This information will remain confidential and will only be used during an emergency event.
  3. Agency/Organization Information
  4. Please describe the mission or nature/work of your organization
  5. i.e. animal services, clothing, food, shelter, feeding, repairs, etc
  6. Please describe these processes within your agency/organization
  7. 24-Hour Point of Contact Person(s):
  8. Primary:
  9. Office
  10. Cell
  11. Secondary:
  12. Office
  13. Cell
  14. Leave This Blank:

  15. This field is not part of the form submission.