π Family Emergency Plan Template
- Family name: _____________________
- Address: _________________________
- Phone numbers: ___________________
- Out-of-area contact person (name/phone): ____________________
- Local emergency services: 911
- Non-emergency police: ____________
- Non-emergency fire: ____________
- Poison control: ____________
- Family doctor: ____________
- Work contacts: ____________
- School contacts: ____________
3. Meeting Places
- Near home (fire, immediate evacuation): ____________________
- Neighborhood safe spot (power outage, gas leak): ____________________
- Out-of-town meeting place (major disaster/evacuation): ____________________
4. Communication Plan
- Primary method (call, text, group chat app, radio): ____________________
- Backup method: ____________________
- Out-of-area contact to relay messages: ____________________
5. Evacuation Plan
- Primary route: ____________________
- Alternate route: ____________________
- Transportation (who drives, backup if unavailable): ____________________
- Emergency shelter options: ____________________
- Go bags stored at: ____________________
6. Shelter-in-Place Plan
- Safe room location: ____________________
- Supplies stored (water, food, flashlights, first aid, radio): β
Yes / β No
- Sealing kit (plastic sheeting, duct tape): β
Yes / β No
7. Special Considerations
- Childrenβs needs (school pickup authorization, comfort items): ____________________
- Elderly/disabled family members (mobility, medications, medical equipment): ____________________
- Pets (food, carriers, vet info): ____________________
8. Utilities & Safety
- Gas shut-off: ____________________
- Water shut-off: ____________________
- Electricity shut-off: ____________________
- Fire extinguisher locations: ____________________
- Smoke/CO detectors last checked: ____________________
9. Emergency Supplies
- Food: β
/ β
- Water (1 gallon per person/day, 3 days min): β
/ β
- First aid kit: β
/ β
- Medications (list/amount): ____________________
- Flashlights + batteries: β
/ β
- Cash (small bills): β
/ β
- Important documents (IDs, insurance, deeds, etc.): β
/ β
- Clothing/blankets: β
/ β
10. Practice & Review
- Last drill date: ____________________
- Next scheduled drill: ____________________
- Notes/Improvements: ____________________