H&I Report Form Fields marked with an * are required Your Name * Your Email * Report Date * Your Area* Select Your AreaBlue MountainCentral WashingtonChelan & Douglas CountiesEverettGrays HarborGreater Cascade LoopLower ColumbiaNorth IdahoNorth Olympic PeninsulaNortheast OregonNortheast WashingtonNorthern PanhandleNorthwest Washington Service CommitteePierce CountySeattleSouth King CountySouth Puget SoundSouthwest WashingtonThe Lewis CountyTri-CitiesWest Puget Sound Your Position * Number of correctional facility meetings held. Number of treatment center meetings held. Number of detox center meetings held Number of other meetings Number of facilities supported with literature only Facility Name / Meeting per Month / Length of time facility has been served Do you have a literature request? NoYes If yes, have you filled out your literature request form? NoYes Have you requested literature in the past year NoYes If Yes have you filled out your literature tracking form NoYes Current Projects or activities Problems or situations How can regional H&I support you? Does your committee have regularly scheduled orientations NoYes When and where is your subcommittee meeting Does your committee have guidelines NoYes Questions, Comments or Open Discussion topics If you would like to upload a pre-written report or upload any files with this report, please use the upload button below and be sure to note it in the report. Upload File
