_____________’s

Family Your family may not be together when disaster strikes,

so plan what you will do in different situations and

Emergency Plan plan how you will contact one another.

EVACUATION PLAN
Preparedness allows you to navigate life’s challenges.
Neighborhood Meeting Place: __________________________________ Phone: _____________
Out of Neighborhood Meeting Place: ____________________________ Phone: _____________

COMMUNICATION PLAN
Where the family spends time
HOME:
Address: __________________________________
Phone: ___________________________________
Evacuation Location: ________________________
_______________’s WORK:
Address: __________________________________
Phone: ___________________________________
Evacuation Location: ________________________
_______________’s WORK:
Address: __________________________________
Phone: ___________________________________
SCHOOL:
Address: _______________________________
Phone: ________________________________
Evacuation Plan: ________________________
SCHOOL:
Address: _______________________________
Phone: ________________________________
Evacuation Plan: ________________________
OTHER PLACE YOU’RE FREQUENT:
Address: _______________________________
Phone: ________________________________

CONTACT INFORMATION
Evacuation Location: ________________________ Evacuation Plan: ________________________
Out-of-town Contact: ________________________ Phone: _________________________________

FAMILY MEMBERS
E-mail: ____________________________________ Alternate Phone Number: _________________
Name: __________________________________ Birthdate: ______________ Phone: __________
Medical Information: ___________________________________________________________________
Doctor/s:_______________________________________________________________________
Name: __________________________________ Birthdate: ______________ Phone: __________
Medical Information: ___________________________________________________________________
Doctor/s:_______________________________________________________________________
Name: __________________________________ Birthdate: ______________ Phone: __________
Medical Information: ___________________________________________________________________
Doctor/s:_______________________________________________________________________
Name: __________________________________ Birthdate: ______________ Phone: __________
Medical Information: ___________________________________________________________________
Doctor/s:_______________________________________________________________________
Name: __________________________________ Birthdate: ______________ Phone: __________
Medical Information: ___________________________________________________________________
Doctor/s:_______________________________________________________________________
Name: __________________________________ Birthdate: ______________ Phone: __________
Medical Information: ___________________________________________________________________
Doctor/s:_______________________________________________________________________
Name: __________________________________ Birthdate: ______________ Phone: __________
Medical Information: ___________________________________________________________________
Doctor/s:_______________________________________________________________________
 _____________’s
Residence Floor Plan