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HomeMy WebLinkAboutFamily Emergency PlanCall 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: House Insurance Policy Vehicle Insurance Policy Family Emergency Plan Escape Routes out of the house and immediate meeting location: ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ Immediate/Central Meeting Place (primary): Immediate/Central Meeting Place (alternate): Utilities: Valve/Breaker Location Electrical Vital Records: Document Power of Attorney Marriage Certificate Birth Certificates Death Certificates Tool Required Yes/No How to Shut off Location How to Turn on Document Location 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. NOIIV iOA1aS8191NfN3NOHdINH1tOdVI1'dNO111©ad:NOV1VWHOJNI'2Sa38Wf1N]NOHd1NVldOdWl1VNOLLIOad FOLD HERE Family Emergency Plan EMERGENCY CONTACT NAME: TELEPHONE: OUT-OF-TOWN CONTACT NAME: ' TELEPHONE: NEIGHBORHOOD MEETING PLACE: 1 1 TELEPHONE: OTHER IMPORTANT INFORMATION: DIAL 911 FOR EMERGENCIES Ready 4rm — — — — — — — — — — — — M Family Emergency Plan EMERGENCY CONTACT NAME: TELEPI-ONE. OUT-OF-TOWN CONTACT NAME. TELEPHONE. NEIGH ECRHCODMEETING PLACE: TELEPHONE. OTHER IMPORTANT INFORMATION: DIAL 911 FOR EMERGENCIES Ready :NOIIVIA jOJNI'2Sd'38Wf1N 3NOHd INVIUOdWl'IVNOUJGGd NOI1' WtiO3Nill'2 Sd38Wf1N 3NOHd INVfdOd1A1111VNOIIIOGV FOLD HERE Family Emergency Plan EMERGENCY CONTACT NAME: TE_EPHONE: ■ OUT-OF-TOWN CONTACT NAME: 1 TELEPHONE: NEIGHBORHOOD MEETING PLACE: TELEPHONE: 1 1 Family Emergency Plan EMERGENCY CONTACT NAME: TELEPHC:N OUT-OF-TOWN CONTACT NAME: TELEPHONE: NEIGHBORHOOD MEETING PLACE: TELEPHONE: 1 OTHER IMPORTANT INFORMATION: OTHER IMPORTANT INFORMATION: Read '41 1 - Ready� 1 1 DIAL 911 FOR EMERGENCIES J III DIAL 911 FOR EMERGENCIES