Texas Volunteer Hours

Personal Information

First Name:
Last Name:

Email:
An email will be sent to you showing how many hours you volunteered for your own documentation purposes.

Organization/Affiliation:
Did you volunteer with an affilated/organized group or disaster relief organization? If so, which one?

Location Worked

Did you check in with a Volunteer Reception Center?: Yes No

Location Checked In:

Location work was conducted:

City:

County:

Zip:

Hours Worked / Work Performed

Date work was conducted:

Total number of hours work was conducted for date:

End Date/Time:

Type of Primary Work Performed:
Types of work performed should include but not limited to data entry, disaster cleanup, debris removal, supply management or distribution, volunteer and donation management, feeding, etc.

Type of Primary Work Performed:

Equipment #1 Used (If applicable):

Total hours Equipment #1 was Utilized if Used (If Applicable):
Numerical values only please (0-9 etc)

Equipment #1 Mileage (If Applicable):

Equipment #2 Used:

Total hours Equipment #2 was Utilized if Used (If Applicable):

Equipment #2 Mileage (If Applicable):

Equipment #3 Used:

Total hours Equipment #3 was Utilized if Used (If Applicable):

Equipment #3 Mileage (If Applicable):

Personal Information

Location Worked

Hours Worked / Work Performed

Signature