Family Emergency Plan (Printable)

All printables

Tip: fill it in on paper, not just on a screen — the whole point is something you can grab when the power and the Wi-Fi are out.

Household members

Name

Date of birth

Medications / medical needs

Name

Date of birth

Medications / medical needs

Name

Date of birth

Medications / medical needs

Name

Date of birth

Medications / medical needs

Name

Date of birth

Medications / medical needs

Out-of-area contact

Pick one person who lives far enough away that they likely won’t be affected by the same event. During an emergency, local lines jam first — so everyone checks in with this one person, who relays that you’re safe.

Name

Relationship

Phone

Text / email

Meeting places

Right outside home (e.g. the front mailbox)

Outside the neighborhood (if you can’t get home)

Out of town (if you must evacuate)

Important contacts

Doctor / pediatrician

Phone

Veterinarian

Phone

Insurance (home / auto)

Phone

Employer / workplace

Phone

Neighbor or nearby friend

Phone

School & childcare plan

School / daycare

Phone

Their release / pickup policy & who is authorized

Utility shut-offs

Know where these are before you need them. Note the location, and keep any needed tool (like a gas wrench) nearby.

I know where the water main shut-off is
I know where the electrical panel / main breaker is
I know where the gas shut-off is and have a wrench nearby only shut off gas if you smell or hear a leak, or you’re told to — a professional must turn it back on

Water shut-off location

Electrical panel location

Gas shut-off location

If we get separated

For the why behind each piece, read Your Family Communication Plan.