Emergency Plan

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Emergency Plan

By: Susie Clayton

Out-of-State Contact

Name____________________________________________
City_____________________________________________
Telephone (Day)________________
(Evening)______________

Local Contact

Name_________________________________
Telephone (Day)________________
(Evening)________________

Nearest Relative

Name_________________________________
City_________________________________
Telephone (Day)________________
(Evening)________________

Family Work Numbers

Father_________________________________
Mother_________________________________
Other_________________________________

Emergency Telephone Numbers

In a life threatening emergency, dial 911 or the local emergency medical services system number.
Police Department_________________________________
Fire Department_________________________________
Hospital_________________________________

Family Physicians

Name___________________________
Telephone_______________
Name___________________________
Telephone_______________
Name___________________________
Telephone_______________

Reunion Locations

1. Right outside your home____________________________ _______________________________________________
2. Away from the neighborhood, in case you cannot return home___________________________________________ _______________________________________________
Address_________________________________________
Telephone________________________________________
Route to try first____________________________________ _________________________________________________

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