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Family Emergency Plan
Make sure your family has a plan in case of an emergency. Before an emergency happens, sit down together and decide how you will
get in contact with each other, where you will go and what you will do in an emergency. Keep a copy of this plan in your emergency
supply kit or another safe place where you can access it in the event of a disaster.
Out-of-Town Contact Name:                                                  Telephone Number:
Email:
Neighborhood Meeting Place:                                                Telephone Number:
Regional Meeting Place:                                                    Telephone Number:
Evacuation Location:                                                       Telephone Number:
Fill out the following information for each family member and keep it up to date.
Name:                                                                     Social Security Number:
Date of Birth:                                                            Important Medical Information:
Name:                                                                     Social Security Number:
Date of Birth:                                                            Important Medical Information:
Name:                                                                     Social Security Number:
Date of Birth:                                                            Important Medical Information:
Name:                                                                     Social Security Number:
Date of Birth:                                                            Important Medical Information:
Name:                                                                     Social Security Number:
Date of Birth:                                                            Important Medical Information:
Name:                                                                     Social Security Number:
Date of Birth:                                                            Important Medical Information:
Write down where your family spends the most time: work, school and other places you frequent. Schools, daycare providers, workplaces and
apartment buildings should all have site-specific emergency plans that you and your family need to know about.
Work Location One                                                          School Location One
Address:                                                                   Address:
Phone Number:                                                              Phone Number:
Evacuation Location:                                                       Evacuation Location:

Work Location Two                                                          School Location Two
Address:                                                                   Address:
Phone Number:                                                              Phone Number:
Evacuation Location:                                                       Evacuation Location:
Work Location Three                                                        School Location Three
Address:                                                                   Address:
Phone Number:                                                              Phone Number:
Evacuation Location:                                                       Evacuation Location:

Other place you frequent                                                   Other place you frequent
Address:                                                                   Address:
Phone Number:                                                              Phone Number:
Evacuation Location:                                                       Evacuation Location:

  Important Information                                        Name                Telephone Number                  Policy Number
 Doctor(s):
 Other:
 Pharmacist:
 Medical Insurance:
 Homeowners/Rental Insurance:
 Veterinarian/Kennel (for pets):

                                                        Dial 911 for Emergencies
Family Emergency Plan
Make sure your family has a plan in case of an emergency. Fill out these cards and give one to each member of your family
to make sure they know who to call and where to meet in case of an emergency.




 ADDITIONAL IMPORTANT PHONE NUMBERS & INFORMATION:                  ADDITIONAL IMPORTANT PHONE NUMBERS & INFORMATION:
                                                          FOLD
                                                        < HERE >
   Family Emergency Plan                                              Family Emergency Plan
  EMERGENCY CONTACT NAME:                                            EMERGENCY CONTACT NAME:
  TELEPHONE:                                                         TELEPHONE:

  OUT-OF-TOWN CONTACT NAME:                                          OUT-OF-TOWN CONTACT NAME:
  TELEPHONE:                                                         TELEPHONE:

  NEIGHBORHOOD MEETING PLACE:                                        NEIGHBORHOOD MEETING PLACE:
  TELEPHONE:                                                         TELEPHONE:

   OTHER IMPORTANT INFORMATION:                                       OTHER IMPORTANT INFORMATION:



  DIAL 911 FOR EMERGENCIES                                           DIAL 911 FOR EMERGENCIES




 ADDITIONAL IMPORTANT PHONE NUMBERS & INFORMATION:                  ADDITIONAL IMPORTANT PHONE NUMBERS & INFORMATION:
                                                          FOLD
                                                        < HERE >
   Family Emergency Plan                                              Family Emergency Plan
  EMERGENCY CONTACT NAME:                                            EMERGENCY CONTACT NAME:
  TELEPHONE:                                                         TELEPHONE:

  OUT-OF-TOWN CONTACT NAME:                                          OUT-OF-TOWN CONTACT NAME:
  TELEPHONE:                                                         TELEPHONE:

  NEIGHBORHOOD MEETING PLACE:                                        NEIGHBORHOOD MEETING PLACE:
  TELEPHONE:                                                         TELEPHONE:

   OTHER IMPORTANT INFORMATION:                                       OTHER IMPORTANT INFORMATION:



  DIAL 911 FOR EMERGENCIES                                           DIAL 911 FOR EMERGENCIES

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Family Emergency Plan...Do you have a plan in place for your family?

  • 1. Family Emergency Plan Make sure your family has a plan in case of an emergency. Before an emergency happens, sit down together and decide how you will get in contact with each other, where you will go and what you will do in an emergency. Keep a copy of this plan in your emergency supply kit or another safe place where you can access it in the event of a disaster. Out-of-Town Contact Name: Telephone Number: Email: Neighborhood Meeting Place: Telephone Number: Regional Meeting Place: Telephone Number: Evacuation Location: Telephone Number: Fill out the following information for each family member and keep it up to date. Name: Social Security Number: Date of Birth: Important Medical Information: Name: Social Security Number: Date of Birth: Important Medical Information: Name: Social Security Number: Date of Birth: Important Medical Information: Name: Social Security Number: Date of Birth: Important Medical Information: Name: Social Security Number: Date of Birth: Important Medical Information: Name: Social Security Number: Date of Birth: Important Medical Information: Write down where your family spends the most time: work, school and other places you frequent. Schools, daycare providers, workplaces and apartment buildings should all have site-specific emergency plans that you and your family need to know about. Work Location One School Location One Address: Address: Phone Number: Phone Number: Evacuation Location: Evacuation Location: Work Location Two School Location Two Address: Address: Phone Number: Phone Number: Evacuation Location: Evacuation Location: Work Location Three School Location Three Address: Address: Phone Number: Phone Number: Evacuation Location: Evacuation Location: Other place you frequent Other place you frequent Address: Address: Phone Number: Phone Number: Evacuation Location: Evacuation Location: Important Information Name Telephone Number Policy Number Doctor(s): Other: Pharmacist: Medical Insurance: Homeowners/Rental Insurance: Veterinarian/Kennel (for pets): Dial 911 for Emergencies
  • 2. Family Emergency Plan Make sure your family has a plan in case of an emergency. Fill out these cards and give one to each member of your family to make sure they know who to call and where to meet in case of an emergency. ADDITIONAL IMPORTANT PHONE NUMBERS & INFORMATION: ADDITIONAL IMPORTANT PHONE NUMBERS & INFORMATION: FOLD < HERE > Family Emergency Plan Family Emergency Plan EMERGENCY CONTACT NAME: EMERGENCY CONTACT NAME: TELEPHONE: TELEPHONE: OUT-OF-TOWN CONTACT NAME: OUT-OF-TOWN CONTACT NAME: TELEPHONE: TELEPHONE: NEIGHBORHOOD MEETING PLACE: NEIGHBORHOOD MEETING PLACE: TELEPHONE: TELEPHONE: OTHER IMPORTANT INFORMATION: OTHER IMPORTANT INFORMATION: DIAL 911 FOR EMERGENCIES DIAL 911 FOR EMERGENCIES ADDITIONAL IMPORTANT PHONE NUMBERS & INFORMATION: ADDITIONAL IMPORTANT PHONE NUMBERS & INFORMATION: FOLD < HERE > Family Emergency Plan Family Emergency Plan EMERGENCY CONTACT NAME: EMERGENCY CONTACT NAME: TELEPHONE: TELEPHONE: OUT-OF-TOWN CONTACT NAME: OUT-OF-TOWN CONTACT NAME: TELEPHONE: TELEPHONE: NEIGHBORHOOD MEETING PLACE: NEIGHBORHOOD MEETING PLACE: TELEPHONE: TELEPHONE: OTHER IMPORTANT INFORMATION: OTHER IMPORTANT INFORMATION: DIAL 911 FOR EMERGENCIES DIAL 911 FOR EMERGENCIES