Your Family Disaster Plan contact info
Fill in the pertinent information regarding your household disaster plan in the space below or on another sheet of paper.
Once you have completed this form, make photocopies and supply one to each member of your family or team and to your out of area contact person. –Attach a current family / team picture to the back of this and laminate it.

In the event of an emergency in our home, we will meet at ______________________  [location close by your home.]

In the event of an emergency and we are unable to return home, we will meet at: _________________________Location, _________________________ Address _________________ telephone number.

Emergency contact for our family is:
Name________________________ Address______________________
Daytime phone number _________
Evening phone number _________
Cell phone number[s] ___________
E-mail address ________________
Our web group site is ___________________________ it is suggested that ALL members of the family / team either be made ‘moderators” or that the site not be moderated at all.

List each family member’s work phone number, their cell phone number[s] and E-mail addresses.

Our family disaster survival kit is located at: _____________________________.
My individual kit is located at:_____________________________________________.