Family Emergency Plan - Laserfiche WebLink

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Call 9-1-1 for emergencies Out -of -State Contact: Family Emergency Plan Family Member Information Name: Date of Birth: Name: Police non -emergency number: 935-3311 Civil Defense: 935-0031 Telephone Number: ( ) Email: (keep this information up to date): Social Security Number: Medical Information: Date of Birth: Name: Date of Birth: Name: Date of Birth: Name: Date of Birth: Social Security Number: Medical Information: Social Security Number: Medical Information: Social Security Number: Medical Information: Social Security Number: Medical Information: Where to go in an emergency (where do you spend the most time, and what places to you frequent?): Home: Address: Phone Number: Immediate meeting Place: Regional meeting Place: School: Address: Phone Number: Immediate meeting Place: School/or place you frequent: Address: Phone Number: Immediate meeting Place: School/or place you frequent: Address: Phone Number: Immediate meeting Place: Work: Address: Phone Number: Evacuation Location: Work/or place you frequent: Address: Phone Number: Evacuation Location: Other place you frequent: Address: Phone Number: Evacuation Location: Other Place you frequent: Address: Phone Number: Evacuation Location: