SVdP Reporting – VV

Monthly reporting form for Visiting Vincentians

  • MM slash DD slash YYYY
    This is your last day of service. It should be a Sunday date, if a weekly report; or the last day of the month, if a monthly report..
  • How many individual visits were made since the team’s last report?
  • How many households were visited? Count individual rooms within a facility (e.g., healthcare, rehab, nursing home, etc.) as individual households
  • How many adults reside in those households that were visited?
  • How many children reside in those households that were visited?
  • What is the dollar value of the assistance that was given (including gift cards), if any?
  • How many hours were spent during the visits?
  • How many miles were driven, including miles to/from the visits?
  • Enter your email address above
  • Additional notes and comments
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