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: 

Please 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: 

Write down where your family spends the most time: work, school and other places you frequent.  Schools, daycare providers, workplace and apartment buildings should all have site-specific emergency plans that you and your family need to know about.

Work Location One
Address: 
Phone Number: 
Evacuation Location: 

Work Location Two
Address: 
Phone Number: 
Evacuation Location: 

Work Location Three
Address: 
Phone Number: 
Evacuation Location: 

School Location One
Address: 
Phone Number: 
Evacuation Location: 

School Location Two
Address: 
Phone Number: 
Evacuation Location: 

School Location Three
Address: 
Phone Number: 
Evacuation Location: 

Other Place You Frequent 
Address: 
Phone Number: 
Evacuation Location: 

Other Place You Frequent 
Address: 
Phone Number: 
Evacuation Location:

Important Information 

Doctor(s)
Name: 
Telephone Number: 
Policy Number: 

Other
Name: 
Telephone Number: 
Policy Number: 

Pharmacist
Name: 
Telephone Number: 
Policy Number: 

Medical Insurance
Name: 
Telephone Number: 
Policy Number: 

Homeowners / Rental Insurance
Name: 
Telephone Number: 
Policy Number: 

Veterinarian / Kennel (for pets)
Name: 
Telephone Number: 
Policy Number: 

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Dial 911 for emergencies 

For more information visit: www.gearupgetready.org

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