Instructions for use: Replicate the table of information below for each community resource participating in or supporting the CCC program. Add additional information as appropriate for the program. Consider using a spreadsheet or formatted database for easy access, sorting and reporting of the information. <Name of Organization> Location <Street, City, Zip code> Mailing Address (if different) <Phone number> <Fax number) <website address> Key Contact <Name>, < position> Working Contact (if different) <phone number> <Name>, < position> <email address> <phone number> <email address> Services Provided Options for Financial Assistance (if any) <Service> <Cost> <Payment options> Hours of Operation Emergency Hours (if any) <General hours> <Holiday hours> Process to Obtain <Forms or referral requirements> Other Requirements (if any) Services <Lead time> Additional <Expectations re: data sharing, service follow up, reports, issue management, etc.> Information <Name of Organization> Location <Street, City, Zip code> Mailing Address (if different) <Phone number> <Fax number) <website address> Key Contact <Name>, < position> Working Contact (if different) <phone number> <Name>, < position> <email address> <phone number> <email address> Services Provided Options for Financial Assistance (if any) <Service> <Cost> <Payment options> Hours of <General hours> Emergency Hours (if any) Operation <Holiday hours> (if any) Process to Obtain <Forms or referral requirements> Other Requirements Services <Lead time> Additional <Expectations re: data sharing, service follow up, reports, issue management, etc.> Information
Instructions for use: Replicate the table of information below for each community resource participating in or supporting the CCC program. Add additional information as appropriate for the program. Consider using a spreadsheet or formatted database for easy access, sorting and reporting of the information. <Name of Organization> Location <Street, City, Zip code> <Phone number> <Fax number) <website address> Mailing Address (if different) Key Contact <Name>, < position> <phone number> <email address> Working Contact (if different) <Name>, < position> <phone number> <email address> Services Provided <Service> <Cost> <Payment options> Options for Financial Assistance (if any) Hours of Operation <General hours> <Holiday hours> Emergency Hours (if any) Process to Obtain Services <Forms or referral requirements> <Lead time> Other Requirements (if any) Additional Information <Expectations re: data sharing, service follow up, reports, issue management, etc.> <Name of Organization> Location <Street, City, Zip code> <Phone number> <Fax number) <website address> Mailing Address (if different) Key Contact <Name>, < position> <phone number> <email address> Working Contact (if different) <Name>, < position> <phone number> <email address> Services Provided <Service> <Cost> <Payment options> Options for Financial Assistance (if any) Hours of Operation <General hours> <Holiday hours> Emergency Hours (if any) Process to Obtain Services <Forms or referral requirements> <Lead time> Other Requirements (if any) Additional Information <Expectations re: data sharing, service follow up, reports, issue management, etc.>