Family Emergency Plan Worksheet

How to use this worksheet: Fill out each section together as a family. Type directly in the fields, then print - your answers will print with the page. Store copies in your emergency kit, vehicles, and with every family member who needs one.

Out-of-State Contact Name

Their Phone Number

Backup way to reach them (email or other)

Emergency Contact List

Name / Who	Phone Number	Notes
Contact 1 name	Contact 1 phone	Contact 1 notes
Contact 2 name	Contact 2 phone	Contact 2 notes
Contact 3 name	Contact 3 phone	Contact 3 notes
School name	School phone	School notes
Workplace name	Workplace phone	Workplace notes
Doctor or pharmacy name	Doctor or pharmacy phone	Doctor or pharmacy notes
Insurance provider name	Insurance provider phone	Policy number

Meeting Place 1 - Near Home (fire, gas leak)

When would you go here?

Meeting Place 2 - Outside the Neighborhood (evacuation)

When would you go here?

Walking route if roads are blocked

Contact person there (if applicable)

Safest room at home (wind / hazmat)

Room for extreme heat / cold

Special needs to plan for (pets, mobility, medications)

Primary evacuation route

Alternate evacuation route

Evacuation destination (name + address)

Check off documents secured in a safe location

Where are originals stored?

Who else knows the location & access?

Backup copy location (safe deposit box, trusted relative)

Important reminder:
Standard homeowner's insurance does NOT cover earthquake or flood damage. Talk to your agent about additional coverage before you need it.

When will you share this plan with your household?

When will you walk to both meeting places as a family?

When will you review and update this plan?

Is your household signed up for local emergency alerts?

Your plan is done. Now make it real.