Hurricane

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Write Your Own Family Plan

Published: May 21, 2006

Now apply what you've learned. Enter vital information so your Family Plan will be easier to follow when needed.

1. Evacuation zone we live in: _____________________________

2. Where we will go if we need to evacuate?
__ Shelter __ Friend __ Relative
Name ____________________
Address _________________
Phone

3. Have I notified my out-of-state contact of our plans?
__ Yes __ No
Name _______________________________
Address ____________________________
Phone ______________________________

4. Is my employer aware of my family plan and have my emergency contact information?
__ Yes __ No

5. Does a member of my family require life support equipment?
__ Yes __ No

If yes, what plans have been made for them? _______________________________________________

6. Does a member of my family require a Special Needs Shelter?
__ Yes __ No
If yes, which Special Needs Shelter?
Name ______________________________________
Address ___________________________________
Phone (Special Needs Shelter Registration) ______________________________________
Medical Supplies Needed: _____________________________________

7. Are my important documents properly secured?
__ Yes __ No
8. What will I do with my pet(s)?
If I go: ________________________________________________
If I stay: ______________________________________________

9. What preventive measures will I take to safeguard my home?

  • Window protection purchased? __ Yes __ No
  • Address clearly marked on house? __ Yes __ No
  • Hurricane-resistant garage door? __ Yes __ No
  • Roof reinforced? __ Yes __ No
  • Generator? __ Yes __ No
  • Identified safe-room: _____________________
  • Have I purchased Must-Have Supplies? __ Yes __ No

    10. Have we reviewed our insurance coverage?
    __ Yes __ No


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