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Family Emergency Plan

Emergency Contact Steps (if one step doesn't work, move on to the next)
First - Contact Family Members

Third - Meet at Neighborhood meeting place

Second - Contact Emergency Contacts

Fourth - Meet at Out-of-town meeting place

Home Phone: 123-456-7890

Family Member Contact Info


Email

Cell number

Mom (Rachel)

rachel@domain.com

123-456-7890

Medications & Medical info

Dad (Steven)

steven@domain.com

123-456-7890

150mcg Synthroid daily

Ashley Marie

123-456-7890

Allergic to nuts

Thomas

123-456-7890

Where we might be
Place

Phone

Times

Address

Mom

Work

123-456-7890

9-2 M-Th

1121 Cherry Lane, Anytown, NY

Dad

Work

123-456-7890

7:30-5:30 M-F

65 Corporate Lane, Anytown, NY

Ashley Marie

Hoover High

123-456-7890

7:30-2:30 M-F

315 Large Road, Anytown, NY

Thomas

Johnson Elementary

123-456-7890

8-3 M-F

22 Small Lane, Anytown, NY

Thomas

Soccer at Finley Park

3-6 M, W

87 Center, Anytown, NY

Everyone

Church

123-456-7890

6-8 W, 9-11 Sun

212 Birch, Anytown, NY

Place

Phone

Address

Neighborhood

Hoover High

123-456-7890

315 Large Road, Anytown, NY

Out-of-town

Grandma Browns house

123-456-7890

2222 N 4400 W, City, NY

Meeting Places

Emergency Contacts
Name

Phone

Email

Address

Neighborhood

Catherine Jones

123-456-7890

someone@gmail.com

212 Weston Road, Anytown, NY

Out-of-town

Grandma Brown

123-456-7890

someone@gmail.com

2222 N 4400 W, City, NY

Name

Telephone

Other Information

Resources
1610 AM

Emergency radio
Family Doctor

Jim Stevenson

123-456-7890

Medical Ins.

United

Policy 434-234234

Homeowners Ins.

John and Carey

Policy 123-321212

http://www.vertex42.com/forms/emergency-contact-form.html

2014 Vertex42 LLC

Cut around the border, and fold


"accordian" style along the dotted lines.

Emergency Card
Name:

When folded, it is the size of a credit card


so it can fit in a wallet.

Phone:
Address:
City, ST, Zip:
Special Needs / Medical Conditions:

2014 Vertex42.com

Fold #1
Family & Friend Contact Info

Home Phone: 123-456-7890

Name

Email

Cell number

Mom (Rachel)

rachel@gmail.com

123-456-7890

Dad (Steven)

dadsteve@comcast.net

123-456-7890

Ashley

ashley@gmail.com

123-456-7890

Thomas

thomas@yahoo.com

123-456-7890

Rick

thomas@yahoo.com

123-456-7890

Sam

thomas@yahoo.com

123-456-7890

Heather

thomas@yahoo.com

123-456-7890

Fold #2
Where we might be
Phone

Times

Address

Mom

123-456-7890

9-2 M-Th

1121 Cherry Lane, Anytown, NY

Dad

123-456-7890

7:30-5:30 M-F

65 Corporate Lane, Anytown, NY

Ashley

123-456-7890

7:30-2:30 M-F

315 Large Road, Anytown, NY

Thomas

123-456-7890

8-3 M-F

22 Small Lane, Anytown, NY

3-6 M, W

87 Center, Anytown, NY

6-8 W, 9-11 Sun

212 Birch, Anytown, NY

Thomas
Everyone

123-456-7890

Fold #3
Meeting Places & Emergency Contacts
Meeting Places

Phone

Address

Neighborhood

Hoover High

123-456-7890

315 Large Road, Anytown, NY

Out-of-town

Grandma Brown

123-456-7890

2222 N 4400 W, City, NY

Emergency Contacts
Neighborhood

Catherine Jones

123-456-7890

212 Weston Road, Anytown, NY

Out-of-town

Grandma Brown

123-456-7890

2222 N 4400 W, City, NY

Other Contacts
Family Doctor
Emergency Call

911

http://www.vertex42.com/forms/emergency-contact-form.html

2014 Vertex42 LLC

HELP
http://www.vertex42.com/forms/emergency-contact-form.html

2014 Vertex42 LLC

Getting Started
After customizing this template, it is important that you review the plan with your entire
family and anyone that is part of the plan (like a relative that you are listing as an
emergency contact). You may want to practice your emergency plan occasionally so that
you are better prepared in the event of a real emergency.
We also recommend that you visit Ready.gov and the American Red Cross website (see
links below under "Additional Help") and learn as much as you can about creating the most
effective family emergency plan.
For other types of home and family related spreadsheets, visit Vertex42.com.

Additional Help
The link at the top of this worksheet will take you to the web page on vertex42.com that
talks about this template.

SITE

Ready.gov: Making a plan for emergencies

SITE

American Red Cross: Disaster Preparation

SITE

American Red Cross: Guide to being ready for emergencies

SITE

National Weather Service: Nationwide Station Listings

Additional Emergency Card Resources


PDF

American Red Cross Emergency Contact Card

PDF

Ready.gov Family Emergency Plan Card for Child

2014 Vertex42 LLC

Emergency Contact Form


By Vertex42.com
http://www.vertex42.com/forms/emergency-contact-form.html

2014 Vertex42 LLC


This spreadsheet, including all worksheets and associated content is considered a
copyrighted work under the United States and other copyright laws.

Do not submit copies or modifications of this template to any website or online template
gallery.
Please review the following license agreement to learn how you may or may not use this
template. Thank you.
See License Agreement
http://www.vertex42.com/licensing/EULA_privateuse.html
Do not delete this worksheet. If necessary, you may hide it by right-clicking on the tab
and selecting Hide.

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