Chapter 26 · Printable appendicesA. Family emergency plan
Chapter 26 · Printable appendices

A. Family emergency plan

1 min read

In this section (8)
  1. Household members
  2. Pets
  3. Out-of-state contact
  4. Meeting points
  5. Doctors and pharmacy
  6. Insurance
  7. Allergies, conditions, and medicines
  8. Evacuation routes

Date completed: ____________ · Next review: ____________ · Address: ________________________________________ Apt. ______

Household members

Household members
Full name Date of birth Cell phone Work / school (address and phone) Blood type
1.
2.
3.
4.

Pets

Pets
Species / breed / Name colorMicrochip no.Veterinarian (name and phone)Vaccinations up to date (date)

Keep a recent photo of each pet with you and in the kit (it helps identify the pet if it gets lost). Shelters for people that accept pets: see chapter 2.

Out-of-state contact

After a disaster it is usually easier to reach someone far away than someone in the same city. Everyone calls or texts this person to check in. Text messages get through when calls do not.

Out-of-state contact
Name Relationship City / state Cell phone Other phone / email
Primary:
Backup:

Meeting points

Meeting points
Place Name and address of the place How to get there / landmark
Near home (fire or leak: outside the building)
Outside the neighborhood (you cannot get back home)
Outside the city (evacuation from your city)

Doctors and pharmacy

Doctors and pharmacy
For whom Doctor / clinic Phone Address
Pharmacy
Nearest hospital

Insurance

Insurance
Type Company Policy no. Claims phone
Renter's / homeowner's
Flood (NFIP or other)
Car(s)
Health
Pets

Allergies, conditions, and medicines

Write down the medication name, strength, and schedule exactly as the prescription says. Do not change doses on your own.

Allergies, conditions, and medicines
Person / petAllergies (medicines, foods, stings)Medical conditionsMedicines and scheduleEquipment needed (glasses, CPAP, etc.)

Evacuation routes

Evacuation routes
Situation Main route Alternate route
Leaving your home or apartment (door and window)
Leaving the complex (gates, streets)
Toward the point outside the neighborhood
Leaving your city or area (avoid crossings that flood)

Location of shutoff valves: water ______________________ · gas (if any) ______________________ · electrical panel ______________________ · fire extinguisher ______________________