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🏠 Family Emergency Plan Template


1. Family Information

  • Family name: _____________________
  • Address: _________________________
  • Phone numbers: ___________________
  • Out-of-area contact person (name/phone): ____________________

2. Emergency Contacts

  • 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): βœ… Yes / ❌ No
  • Sealing kit (plastic sheeting, duct tape): βœ… Yes / ❌ No

7. Special Considerations

  • Children’s 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: βœ… / ❌
  • Water (1 gallon per person/day, 3 days min): βœ… / ❌
  • First aid kit: βœ… / ❌
  • Medications (list/amount): ____________________
  • Flashlights + batteries: βœ… / ❌
  • Cash (small bills): βœ… / ❌
  • Important documents (IDs, insurance, deeds, etc.): βœ… / ❌
  • Clothing/blankets: βœ… / ❌

10. Practice & Review

  • Last drill date: ____________________
  • Next scheduled drill: ____________________
  • Notes/Improvements: ____________________