Disaster Guide: Family Information, Plan, Kits & Shelter

FAMILY INFORMATION & PHONE NUMBERS

Place these records in a safe location (like a metal box or safety deposit box). We suggest you review/update the information several times a year to keep records current.

Since this data changes quite often, we suggest you use the information below as a guide and write everything down on a piece of paper then paper- clip inside this Manual for easy access. Keep a record of each school your child or children attend and please replace it every time there is a change. And make sure other family members get updates too!

LIST CONTACT DATA FOR ALL FAMILY MEMBERS:

Parent/Guardian works at:

Work address: ___________ Work & Cell Phone #s:

Parent/Guardian works at:

Work address:

Contact name at school:

Work & Cell Phone #s: _______________________________

Brother/Sister works at: ___________________________________

Work address: _______________________________________________

Work & Cell Phone #s: _______________________________

LIST SCHOOL INFORMATION FOR EACH CHILD IN FAMILY:

Child’s name: __________

School name: _________

School address: ________

Main phone # for school:

- Will school HOLD or RELEASE child if an emergency or disaster?

- Where will the school move child if an emergency or disaster?

- How will the school communicate with families during a crisis?

- Does the school store adequate food, water and other basic supplies?

Suggestion: Parents and Guardians may want to keep a copy of your child or children’s information at your place of employment with another family member in case of a disaster or emergency. Please make sure you update records each year so everyone has the right data.

OTHER IMPORTANT FAMILY INFORMATION:

Please write information down on a piece of paper and place in a safe location (such as a fireproof metal box or a safety deposit box). Again, we suggest you review / update information several times a year to keep records current.

Make a list of each Family Member’s Social Security Number

Name:

Social Security #: ________________________________________

HMO/Insurance Policies:

Closest Hospital Name: ________________________________________

Closest Hospital Address: ________________________________________

Hospital Phone #: _____

Insurance Co. Name: _____

Policy #:

Phone #:

Insurance Co. Name: _____________

Policy #: _____________ Phone #: __________________________________

Family Doctor Name: ________________________________________

Family Doctor’s Address: ________________________________________

Dr. Phone #: ________________________________________

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