---
title: Homeless Shelter Evacuation & Headcount Form Template | Paperform
description: Track resident safety, bed assignments, medical needs, medication status, and alternate housing during shelter evacuations. Secure, mobile-friendly emergency checklist for crisis response.
url: "https://paperform.co/templates/homeless-shelter-evacuation-headcount-form"
type: static
generatedAt: "2026-03-28T00:44:07.811Z"
---

[← Back to free form templates](/templates/)    ![Homeless Shelter Evacuation & Headcount Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/homeless-shelter-evacuation-headcount-form.png)
    [Preview](https://_preview.paperform.co/ai-template/homeless-shelter-evacuation-headcount-form) [Use this template for free](/create?ai-template=homeless-shelter-evacuation-headcount-form)    [Emergency & Crisis Forms](/templates/category/emergency-crisis/)[Checklists & Logs](/templates/category/checklists/) [Healthcare](/templates/industry/healthcare/)[Nonprofit](/templates/industry/nonprofit/) [Social Worker](/templates/role/social-worker/)[Healthcare Administrator](/templates/role/healthcare-admin/)[Caregiver](/templates/role/caregiver/)[Nonprofit Director](/templates/role/nonprofit-director/)     About this free form template
When an emergency strikes—whether it's a fire, natural disaster, or facility issue—homeless shelters need a fast, organized way to account for every resident and staff member. This **Homeless Shelter Evacuation & Headcount Form** gives shelter administrators and case managers a structured checklist to confirm who's safe, track critical medical and medication needs, coordinate alternate housing, and ensure no one is left behind.

Built for shelter directors, emergency coordinators, social workers, and housing support staff, this form replaces paper clipboards and chaotic roll calls with a clear digital record that can be filled out on any device—even during a power outage or internet disruption. Capture resident names, bed assignments, medical conditions, medication distribution status, staff locations, and next steps for temporary or alternate housing, all in one place.

**Paperform** makes it easy to customize this template to match your shelter's resident database, bed numbering system, and evacuation protocols. Use conditional logic to route different questions based on resident status, add photo uploads for visual confirmation, or connect submissions to **Stepper** (stepper.io) to automatically notify case managers, log incidents in your housing management system, or trigger follow-up tasks for rehousing coordination.

With Paperform's offline-capable Progressive Web App, you can check residents in even without connectivity, then sync submissions once you're back online. And because Paperform is SOC 2 Type II compliant with robust data residency and access controls, you can trust that sensitive resident health and housing information stays secure and audit-ready.

Whether you're conducting a drill, responding to a real emergency, or coordinating temporary relocation, this evacuation form ensures every resident is accounted for and every critical detail is captured when it matters most.
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