It Begins With
Preparedness
Complete and review this plan as a family, and post it on your refrigerator or in another
visible location. Make sure every member of the household has a copy to reference in case of emergency.
Household
Emergency Plan
_________________________________________________________
(write your family’s name here)
Address: __________________________________________________
Name Family Member
___________________________
Mobile Phone:
___________________________
Email:
___________________________
Work/School Name:
___________________________
Work/School Address:
___________________________
Work/School Phone:
___________________________
Emergency Plan:
___________________________ Name Family Member
___________________________
Mobile Phone:
___________________________
Email:
___________________________
Work/School Name:
___________________________
Work/School Address:
___________________________
Work/School Phone:
___________________________
Emergency Plan:
___________________________
Name Family Member
___________________________
Mobile Phone:
___________________________
Email:
___________________________
Work/School Name:
___________________________
Work/School Address:
___________________________
Work/School Phone:
___________________________
Emergency Plan:
___________________________ Name Family Member
___________________________
Mobile Phone:
___________________________
Email:
___________________________
Work/School Name:
___________________________
Work/School Address:
___________________________
Work/School Phone:
___________________________
Emergency Plan:
___________________________
Important
Names, Numbers
& Information
In Case of Emergency Contact
Name _____________________________________________
Address ___________________________________________
Mobile Phone _______________________________________
Land Phone _________________________________________
Email _____________________________________________
Suggested Advertiser:
Hardware
Store
Police: Dial 911 or call _________________________________
Fire Dept: Dial 911 or call ________________________________
Poison Control: ______________________________________
Primary Doctor: ____________________ # _________________
Pediatrician: ______________________ # _________________
Dentist: __________________________ # _________________
Pharmacy: _______________________ # _________________
Emergency Vet: ____________________ # _________________
Electric Company: __________________ # _________________
Emergency Meeting
Points & Instructions
Inside the House: ____________________________________________
Location or Address in the Neighborhood: __________________________
_________________________________________________________
Gas Company: ____________________ # _________________
Water Company: ___________________ # _________________
Medical Insurance
Company Name ______________________________________
Phone ______________________________________________
Policy # ____________________________________________
Home/Rental Insurance
Suggested Advertiser:
Local
Insurance
Representative
Company Name ______________________________________
Phone ______________________________________________
Policy # ____________________________________________
Flood Insurance
Company Name ______________________________________
Phone ______________________________________________
Policy # ____________________________________________
Other: ____________________________________________
__
_________________________________________________
_________________________________________________
Location & Address Outside of the Neighborhood: ____________________ _________________________________________________
_________________________________________________________ __________________________________________________
Photos Taken By
Enid News & Eagle
Action Step
Download
A Copy Of
This Form
From Our
Website
__________________________________________________
Do This Today:
Out-of-Town Address: ________________________________________ __________________________________________________
_______________________________________________________ Store an In Case of
__________________________________________________
Emergency contact(s)
__________________________________________________
under ICE in every
household member’s
mobile phone.
Backpack Emergency Card for Kids
Name: ______________________________________________
Address: ____________________________________________
Home Phone: _________________________________________
Parent Name: ___________________________ #____________
Parent Name: ___________________________ #____________
Emergency Contact: ______________________ #____________
Important Information: __________________________________
__________________________________________________
OKLAHOMA SHOPPERS GROUP
Suggested Advertiser:
Home Security Company
Since 1970
1047 E. Main • Cushing, OK 74023
www.showntelltimes.com • www.shopnswap.com
Spring Scenes
| March 2020 | Page 25
JEFF
NIEMAN