Lutheran Community Service Northwest, Refugee Resettlement Agency Address: 223 N. Yakima Ave. Tacoma, WA 98403 Phone: (253) 722-5685
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Assura nce Recept ion 1 st Home Visit Intake Interv iew Public Benefits Enrollm ent Social Security number Eligible Services Enrollm ent Other Referrals & Assistance 2 nd Home Visit Case Closeout Housing Evaluati on Safety checklis t US Ties Coordin ation Airport pickup with - Appropriate interpretation Seasonal clothing Pocket money Culturally appropriate ready-to eat food Housing and Safety Orientation Assessment Assistance with basic needs Food and food allowance until SNAP Orientation Roles and Responsibil ities Verify refugee documenta tion Public Assistance SNAP & MA Eligible Services Enrollment Social Security Number application ESL Referral and Enrollment Assistance Employment program Referral and Enrollment Assistance Other welfare program (WIC) R&P Core Service Timeline FY 2016 Health Screening Referral and Appointment School Registration Selective Service Registration Service/ Resettlement plan Cultural Orientation Assistance with AR 11 Documented - Assessme nt of welfare, living conditions, and needs Assistance with basic needs Throughout the 90 days R&P Service Period: Individualized, detail case notes that include explanation for service delays CO assessment Documentation of CO understanding Monitor the progress and updates on resettlement service plan Monitor ESL attendance Health and Mental Health follow-ups, as needed R&P Period Report Case close out letter and service referrals post (90) days Cultural Orientation throughout the 90 days
Washington State Individual Refugee and Special Immigrant Visas Arrival
Washington State Individual Refugee and Special Immigrant Visas Arrival
When completing this form list the specific quantities provided, as checkmarks or enough are not acceptable responses. PA Name: Case #: List Completed by: Case Size: DOA: # of Occupants: Date Completed: Address: Temporary (T) or Permanent (P) Housing: Furniture Quantity Kitchen Items Quantity Mattress and box spring (only married couples or small children of same gender may be expected to share beds) Bed frame One set of drawers, shelves or other unit appropriate for storage of clothing per family One couch or equivalent seating per family (in addition to kitchen chairs) One lamp per room, unless installed lighting is present and adequate, and light bulbs as needed Kitchen table (per case) and chair (per person) Linens and Other Household Supplies One bath towel per person One set of sheets for each bed Blanket(s) for each bed as seasonally appropriate One pillow and pillowcase for each person Alarm clock Paper, pens and/or pencils (one set per case recommended) Cleaning Supplies Dish soap One place setting of tableware (fork, knife, spoon) per person One place setting of dishes (plate, bowl and cup) per person Pots and pans: at least one sauce pan, frying pan, and baking dish Mixing/serving bowls One set of kitchen utensils (such as a spatula, wooden spoon, knife, serving utensils, etc.) Can opener Toiletries (new) Toilet paper (list number of rolls) Shampoo Soap One toothbrush per person Toothpaste Personal hygiene items as appropriate (such as deodorant, feminine hygiene products, and razors) Two waste baskets Bathroom/kitchen cleanser Laundry detergent Trash bags (list number of boxes) Mop or broom Sponges or cleaning rags and/or paper towels Other Items and Food Appropriate seasonal clothing for work, school and everyday use: Clean clothing, in good condition, for all members of the family (including proper footwear) Baby items as needed: such as baby food, clothing, diapers, infant and children car seats, and cribs Food available on arrival: Culturally appropriate, ready-to-eat food, plus one day s worth of additional food supplies and staples (including baby food as needed) Food within one day of arrival: Food or food allowance at least equivalent to the food stamp allocation for that family unit and continued food assistance until receipt of food stamps or until individual/ family is able to provide food for himself, herself or themselves Description PA Name: Signature: Date: Case Manager Name: Signature: Date: Interpreter Name: Signature: Date:
Key Contacts for Lutheran Community Services Multicultural Services: 1. Morgan ChristianSen mchristiansen@lcsnw.org 253-722-5685 Housing Specialist and Volunteer Mentoring Coordinator 2. John Forseth jforseth@lcsnw.org 253-722-5695 Program Director Refugee Resettlment and Placement 3. Paul Tan, M.Div. Foster Home Recruiter Refugee and Immigrant Children s Program www.refugeechildren.net 4. Kinza Schulyer kschuyler@lcsnw.org Immigration Services Northgate Office 5. Beth Farmer bfarmer@lcsnw.org Lutheran Community Service International Counseling and Community Services for Refugee Mental Health and Asylee Program. 6. Advocacy Go to website www.lirs.org and sign up for Stand For Welcome alerts and take action. JoAnne Kelsey Assistant Director for Advocacy Jkelsey@lirs.org