• HAKA DARE Database

    Please complete the form as if there is a current emergency
  • Are there dogs loose on the property?
  • Are there aggressive, fearful, or protective animals on the property?
  • Can a truck trailer or animal transport vehicle access the property?
  • Is there space to turn around a trailer?
  • Is there a safe area to stage crates or load animals?
  • Can HAKA text you during an emergency?*
  • Can HAKA call you during an emergency?*
  • Can HAKA email you during an emergency?
  • Can HAKA contact your emergency contacts?
  • Other communication platforms you use
  • Do you have any of these communication resources?
  • Do you have a neighbor who checks on you?
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Best way to contact you
  • Do you have reliable cell service at your home?
  • Do you have internet access at your home?
  • Do you receive emergency alerts?
  • If yes, how do you receive emergency alerts?
  • Format: (000) 000-0000.
  • Does this person have permission to speak with HAKA about your emergency needs?
  • Can this person pick you up during an evacuation?
  • Can this person temporarily take your animals?
  • Does this person have keys, gate access, or animal handling knowledge?
  • Format: (000) 000-0000.
  • Does this person have permission to speak with HAKA about your emergency needs?
  • Can this person pick you up during an evacuation?
  • Can this person temporarily take your animals?
  • Does this person have keys, gate code, or animal handling knowledge?
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  • Do you own or rent?*

  • Does the property have a fence and gate?*
  • Do you have pets, service animal, or livestock?
  • Are your domestic pets (dogs and cats) spayed or neutered?*

  • Do you have and care for a cat colony on your property?*
  • If your domestic animals are not spayed or neutered, would you like info on getting them fixed?
  • Do you have travel carriers/crates for all of your smaller animals like cats, dogs, rabbits, etc.?*
  • Do you have a trailer for farm animals?*
  • Do you have a place to take your animals?*
  • Will you need a temporary home for your animals?*
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  • Do you or someone in your household have a service animal?
  • Do you have livestock or large animals?*
  • Are your animals halter-trained or trailer-trained?
  • Do you have a trailer?
  • Do you have access to someone with a trailer?
  • Are animals easy to load?
  • Are animals branded, tagged, microchipped, or otherwise identifiable?
  • Do animals have current health records or Coggins test (if applicable)?
  • Are there gates wide enough for trailers?
  • Is there a safe loading area?
  • Do you have temporary relocation options for livestock?
  • Are there animals that cannot be moved?
  • Would shelter-in-place support be needed for livestock?
  • Do you or someone in your household have an Emotional Support Animal (ESA)?
  • Do you or anyone in your household take medication prescribed by a physician?
  • In the event of an emergency, do you give HAKA and its associates permission to enter the property to assist you with relocating yourself, your family, or your animals?*
  • Do you need housing/shelter for yourself and family members?*
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  • Are you Hawaiian or Part-Hawaiian? (For statistics only)*
  • Do you consent to HAKA collecting this information for emergency planning and response coordination?*
  • Do you consent to HAKA contacting you before, during, or after an emergency?*
  • Do you consent to HAKA sharing relevant information with emergency response partners, animal response partners, shelters, veterinary partners, or public agencies when necessary to support emergency response?*
  • Do you need an interpreter?
  • Are there children (under 18) in the household?
  • Are there kūpuna or older adults (65+) in the household?
  • Does anyone in the household live alone?
  • Does anyone in the household have limited mobility, a disability, chronic illness, or an access or functional need that may affect evacuation?*
  • Does anyone require caregiver support?
  • Is anyone in the household dependent on electricity for medical equipment?*
  • Does anyone use any of the following equipment?
  • Does anyone require medication that must travel with them?
  • Does anyone have a condition that may affect communication, decision-making, behavior, or ability to follow evacuation instructions?
  • Is anyone in the household pregnant?
  • Can you evacuate without assistance?*
  • Would you need help evacuating?*
  • Do you have a working vehicle?
  • Is your vehicle large enough for all household members and animals?
  • Do you need transportation for yourself or household members?
  • Do you need transportation for animals?
  • Do you need wheelchair-accessible transportation?
  • Do you need help loading animals, crates, feed, medication, or medical equipment?
  • Do you need help catching or containing animals?
  • Would you evacuate early if advised?
  • Do you have family or friends you can stay with?
  • Would you need a pet-friendly shelter?
  • Would you need separate animal sheltering?
  • Would you need livestock sheltering or temporary placement?
  • Would you refuse to evacuate without your animals?
  • Would you refuse to evacuate without your animals?

  • Section 6: Home and Property Access

  • Are there dogs loose on the property?
  • Are there aggressive, fearful, or protective animals on the property?
  • Property hazards
  • Can a truck trailer or animal transport vehicle access the property?
  • Is there space to turn around a trailer?
  • Is there a safe area to stage crates or load animals?
  • Complete one entry per animal or group (e.g., 5 barn cats). Duplicate sections as needed.
  • Do you have security cameras or alarms that may affect entry?
  • Animal 1 – Does this animal have a bite history or handling concerns?
  • Animal 1 – Is this animal crate-trained?
  • Animal 1 – Can this animal be handled by strangers?
  • Animal 1 – Is this animal pregnant, nursing, or medically fragile?
  • Animal 1 – Does this animal have a bite history or handling concerns?
  • Animal 1 – Is this animal crate-trained?
  • Animal 1 – Does this animal have a crate or carrier?
  • Animal 1 – Can this animal be handled by strangers?
  • Animal 1 – Can this animal be transported with other animals?
  • Animal 1 – Is this animal bonded to another animal?
  • Animal 1 – Is this animal pregnant, nursing, elderly, injured, or medically fragile?
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  • Under ADA guidance, staff may only ask the following two questions about service animals. Registration is voluntary and cannot be required as a condition of access to services.
  • Is this animal required because of a disability?
  • Does the service animal need to remain with the handler at all times?
  • Is this animal an emotional support animal (ESA), therapy animal, or comfort animal?
  • Is this animal a working animal (e.g., livestock guardian dog, hunting dog, farm dog)?
  • This section helps HAKA prioritize coordination. Submission does not guarantee rescue or services.
  • Are you in a flood-prone area?
  • Are you in a wildfire-prone area?
  • Are you near a lava hazard zone?
  • Are you in a tsunami evacuation zone?
  • Are you isolated by one road in and out?
  • Have you had to evacuate before?
  • Did animals prevent or delay your evacuation in the past?
  • Do you have no transportation?
  • Are you medically fragile or dependent on electricity?
  • Do you live alone?
  • Do you have more animals than you can transport?
  • Do you have livestock that require trailer support?
  • Do you need early evacuation planning?
  • HAKA Internal Use Only – Do not complete
  • Do you have a human emergency kit?*
  • Do you have a pet emergency kit?*
  • Do you have at least 7 days of food and water for people?*
  • Do you have at least 7 days of food and water for animals?*
  • Do you have crates or carriers for each animal?*
  • Do you have copies of veterinary records?*
  • Do you have a generator or backup battery?*
  • Do you have transportation fuel available?*
  • What supplies would you need during an emergency?

  • You do not need to share a diagnosis. Please focus on what support is needed during evacuation, transport, or sheltering.
  • Does anyone in the household have medical or functional needs that may affect evacuation or sheltering?*
  • What types of assistance might be needed?
  • Does anyone use medical equipment?
  • Is electricity required for any medical equipment?
  • Are any medications time-sensitive or temperature-sensitive?
  • Does the household have a caregiver?
  • Will the caregiver evacuate with the person needing care?
  • Is there a backup caregiver?
  • Format: (000) 000-0000.
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  • Is emergency veterinary care likely to be needed during evacuation?
  • Is the animal safe to transport without sedation?
  • Has a veterinarian recommended any special handling?
  • Do you consent to temporary foster placement if needed?*
  • Do you consent to emergency veterinary care if you cannot be reached?*
  • Only upload documents that are relevant. Do not upload unnecessary personal identification. All uploads are stored securely and accessed only by authorized HAKA personnel.
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  • Some people who register may also be able to help others. This section is completely optional.
  • Are you willing to help others during emergencies?
  • Can you transport people?
  • Can you transport pets?
  • What equipment or resources do you have available to help?

  • Can you foster animals temporarily?
  • What volunteer tasks are you able to help with?

  • Relevant training or certifications you hold
  • Date
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