If you are a stand alone Domestic Violence or Sexual Assault agency, denote with an "NA" any fundamentals that do not apply to your agency.

Basic Fundamental Service Elements

Universal Requirements (as defined)
NA
Yes
NO

Hotline fundamentals (as defined)
NA
Yes
NO

Shelter fundamentals (as defined)
NA
Yes
NO

Sexual Assault Counseling fundamentals (as defined)
NA
Yes
NO

Domestic Violence Counseling fundamentals (as defined)
NA
Yes
NO

Sexual Assault Medical Advocacy (as defined)
NA
Yes
NO

Sexual Assault Legal Advocacy (as defined)
NA
Yes
NO

Domestic Violence Legal Advocacy (as defined)
NA
Yes
NO

Domestic Violence Medical Advocacy (as defined)
NA
Yes
NO

Fundamental Elements of Accessibility

Staff and volunteers are trained in basic disability awareness.
Yes
NO

Intake process includes procedures for screening, referral, and/or the delivery of services to victims with disabilities, including adult clients and their children.
Yes
NO

Staff and volunteers provide accessible communication to clients with disabilities.
Yes
NO

Hotline staff and volunteers are trained to use Telecommunications Relay Service.
Yes
NO

Printed information is accessible for clients with disabilities.
Yes
NO

Buildings are physically accessible for clients with disabilities or the agency has a plan with identified options/alternate accessible locations to provide services.
Yes
NO

Agency is welcoming of service animals and personal care assistants.
Yes
NO

Staff and volunteers advocate for accommodations during medical care for sexual assault survivors with disabilities.
Yes
NO

Staff and volunteers advocate for accommodations during legal proceedings for sexual and domestic violence survivors with disabilities.
Yes
NO

Disability-related assistance or accommodations are provided free of charge.
Yes
NO