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