№ lp_2_3_25918
File format: docx
Character count: 3309
File size: 44 KB
Confidential internal form used to request emergency financial assistance from the Colleague Crisis Assistance Fund, including employee, household, and financial details, along with consents and acknowledgments.
Year:
2026
Organization:
St. Peter’s Health Partners
Document Type:
Request Form
Department:
Human Resources
Target Audience:
Employees experiencing financial hardship
Required Attachments:
Copies of bills or invoices
Consent:
Authorization for referral to Colleague Health Plan Social Worker
Employment Details:
Employee ID, Date of Hire, Current Position, Department, Affiliate
Contact Information:
Address, Phone Number, Work Phone
Household Information:
Names, ages, household contributions
Financial Assistance Details:
Amount requested, other sources of assistance explored, expected hardship duration
Supervisor Involvement:
Optional comments
Legal Acknowledgment:
Employee signature confirming understanding of eligibility guidelines
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2023
Region / city:
United States
Topic:
Long COVID, Healthcare, Public Health, Chronic Conditions
Document Type:
Guidance
Author:
[Insert Author Name if Available]
Target Audience:
Public Health Departments, Health Care Providers, Community Partners
Period of Action:
Ongoing
Approval Date:
[Insert Date]
Date of Changes:
[Insert Date of Latest Update]
Year:
2023
Region / City:
Australia
Topic:
Employee well-being, mental health
Document Type:
Article
Organization:
R U OK?
Author:
R U OK? team
Target Audience:
All employees
Date of approval:
N/A
Date of changes:
N/A
Contextual description:
A practical guide for employees on how to initiate conversations with colleagues about their mental health, offering various approaches to check in without being intrusive.
Year:
2021
Region / city:
New York
Subject:
UNDP, Syria refugee crisis, regional response, resilience approach
Document type:
Evaluation report
Institution:
United Nations Development Programme (UNDP)
Author:
UNDP Independent Evaluation Office
Target audience:
UNDP staff, stakeholders involved in refugee response, policy makers
Period of validity:
2015–2019
Approval date:
4 February 2021
Date of changes:
N/A
Note:
Year
Subject:
Crisis Management, Event Management
Document Type:
Crisis Management Plan
Target Audience:
Event Organizers, Crisis Management Team, Stakeholders
Year:
2023
Region / City:
Illinois
Theme:
Mental Health, Crisis Assessment
Document Type:
Assessment Tool
Institution:
Illinois Medicaid
Author:
Unknown
Target Audience:
Mental Health Professionals
Period of Validity:
Ongoing
Approval Date:
Unknown
Date of Changes:
Unknown
Year:
November 2024
Region / City:
Greater Richmond, Henrico County, Chesterfield County, Hanover County
Topic:
Homeless Services, Housing Assistance, Food Resources, Community Support
Document Type:
Information Sheet
Organization / Institution:
Various local agencies (e.g. City of Richmond, Henrico DSS, Commonwealth Catholic Charities)
Author:
Not specified
Target Audience:
Individuals and families experiencing homelessness or at risk of homelessness
Period of Effectiveness:
November 2024
Approval Date:
Not specified
Date of Last Update:
November 2024
Year:
2024
Region / City:
Virginia, USA
Document Type:
School Emergency Management Plan Template
Authority / Legislation:
Code of Virginia § 22.1-279.8
Target Audience:
School staff and administrators
Scope:
School-level emergency preparedness and response
Sections:
Before, During, After
Topics Covered:
Crisis management, medical emergencies, evacuation, shelter, lockdown, active attack, HazMat, reunification
Update Frequency:
Annual review and update
Format:
Template with worksheets, checklists, and maps
Year:
2013
Region / City:
Chittagong
Topic:
Conflict Management, Workplace Issues
Document Type:
Assignment
Institution:
University of Science & Technology Chittagong
Author:
B.K. Dhar
Target Audience:
Students, Academics, Professionals in Business Administration
Period of Validity:
N/A
Approval Date:
August, 2013
Modification Date:
N/A
Note:
Year
Theme:
Mental Health
Document Type:
Information Sheet
Organization / Institution:
Gloucestershire Health & Care NHS Foundation Trust
Target Audience:
Children and Young People (CYP), parents, carers, and professionals
Description:
This document provides crisis intervention contacts and resources for children and young people experiencing mental health crises in Gloucestershire.
Year:
2026
Location:
Macon, Georgia, USA
Topic:
Health care, Intellectual and developmental disabilities
Document type:
Press release
Organization:
Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD)
Partners:
Mercer University, River Edge Behavioral Health
Facility size:
34,000 square feet
Expected opening:
January 2025
Services offered:
Behavioral health assessments, dentistry, psychiatry, neurology, physical therapy, occupational therapy, speech and language pathology, ophthalmology, outpatient care
Target audience:
Adults with intellectual and developmental disabilities in Georgia
Year:
Not specified
Region / City:
Not specified
Subject:
Crisis management, business continuity
Document Type:
Plan template
Organization / Institution:
Not specified
Author:
Not specified
Target Audience:
Crisis management team, business continuity professionals
Effective Period:
Not specified
Approval Date:
Not specified
Revision Date:
Not specified
Contextual description:
A crisis management plan template outlining procedures for crisis detection, response, and recovery for critical business activities, including roles, responsibilities, and incident classification.
Note:
Year
Theme:
Emergency Management
Document Type:
Plan
Organization:
X Council
Author:
X Person, General Manager/CEO
Target Audience:
X Council staff and Crisis Management Team
Period of Validity:
Ongoing
Year:
2003
Region / city:
United Kingdom
Topic:
Crisis Management, Oil and Gas Industry
Document Type:
Government Briefing Pack
Agency / Organization:
Department of Energy and Climate Change (DECC)
Author:
DECC
Target Audience:
Industry professionals, Government officials, Crisis management teams
Period of validity:
Ongoing
Approval Date:
Not specified
Date of last update:
Not specified
Year:
2022
Region / City:
Iowa
Theme:
Child welfare, crisis intervention, stabilization, reunification services
Document type:
Amendment to Request for Proposal
Organization / Institution:
Iowa Department of Human Services
Author:
Iowa Department of Human Services
Target audience:
Contractors and service providers
Effective date:
September 7, 2022
Date of changes:
September 7, 2022
Document type:
Job description and person specification
Role:
Specialty Doctor in Crisis Resolution and Home Treatment
Organisation:
Leicestershire Partnership NHS Trust
Service:
Crisis Resolution and Home Treatment Service
Sector:
Mental health services
Location:
Bradgate Mental Health Unit, Glenfield Hospital site, Leicester, United Kingdom
Contract type:
Permanent
Working pattern:
Full time
Programmed activities:
Total 10 (DCC 8, SPA 2)
Professional accountability:
Medical Director
Operational accountability:
Associate Medical Director for Mental Health Service
Regulatory approval:
Royal College of Psychiatrists
RCPsych reference number:
TRENT-SD-NTH-2023-01108
DBS requirement:
Enhanced DBS with Adults and Children’s Barred Lists
Target applicants:
Registered medical practitioners in psychiatry
Population served:
Adults aged 18 and over
Geographical coverage:
Leicester, Leicestershire and Rutland
Year:
2020
Region / city:
Somalia
Topic:
Environmental and Social Management Framework for the Somalia Crisis Recovery Project
Document type:
Framework
Organization / Institution:
Federal Government of Somalia, Ministry of Finance
Author:
Not specified
Target audience:
Stakeholders involved in environmental and social impact management in Somalia
Period of validity:
Ongoing
Approval date:
July 25, 2020
Amendment dates:
February 9, 2021, October 22, 2021
Year:
2017
Region / City:
National Cemetery Administration
Topic:
Executive Core Qualification (ECQ) coaching for SES certification
Document Type:
Statement of Work
Organization / Institution:
National Cemetery Administration (NCA)
Author:
National Cemetery Administration
Target Audience:
Senior General Schedule employees, SES candidates
Period of Implementation:
Date of Award through September 30, 2017 (Base Period); October 1, 2017 - September 30, 2018 (Option Year One)
Approval Date:
Date of Award
Modification Date:
None
Agency:
U.S. Department of Housing and Urban Development
Office:
Office of Housing; Office of Public and Indian Housing
Program:
Rental Assistance Demonstration
Document type:
Use agreement
OMB approval number:
2577-0276
Statutory authority:
Consolidated and Further Continuing Appropriations Act of 2012 (Public Law 112-55)
Regulatory reference:
PIH Notice 2012-32, rev-2
Parties:
United States Department of Housing and Urban Development; Project Owner; Public Housing Agency (if applicable)
Assistance type:
Project-based Section 8 rental assistance
Contract term:
15 or 20 years with renewals tied to RAD HAP contract
Income eligibility limit:
Up to 80 percent of Area Median Income
Jurisdiction:
United States