Below you will find a handy checklist for creating your family evacuation plan. For more information about creating a plan, see our page Family Evacuation Plan. If you prefer to print a paper copy, use the PDF link above.
HOUSEHOLD INFORMATION
Family Name: ________________________________________________
Home Address: _______________________________________________
Primary Phone: _______________________________________________
Out‑of‑Area Contact (Name & Phone):______________________________
EMERGENCY MEETING POINTS
1. Near‑Home Meeting Point
Location: _____________________________________________________
Address/Description: ___________________________________________
2. Out‑of‑Neighborhood Meeting Point
Location: _____________________________________________________
Address/Description: ___________________________________________
3. Out‑of‑Town Meeting Point
Location: _____________________________________________________
Address/Description: ___________________________________________
EVACUATION ROUTES
Primary Route
Directions: ____________________________________________________
Notes: _________________________________________________________
Secondary Route
Directions: ____________________________________________________
Notes: _________________________________________________________
Alternate Route
Directions: ____________________________________________________
Notes: _________________________________________________________
FAMILY MEMBERS
| Name | Phone | Responsibility |
CHILDREN’S INFORMATION
Child Name: _________________________________________________
• School/Daycare: ______________________________________________
• Pickup Instructions: __________________________________________
Child Name: _________________________________________________
• School/Daycare: ______________________________________________
• Pickup Instructions: __________________________________________
PETS
Pet Name & Type: _____________________________________________
• Carrier Location: ______________________________________________
• Supplies Location: _____________________________________________
Pet Name & Type: _____________________________________________
• Carrier Location: ______________________________________________
• Supplies Location: _____________________________________________
ESSENTIAL ITEMS TO GRAB
□ 72‑Hour Kits / Go Bags
□ Medications
□ Important Documents Folder
□ Phones & Chargers
□ Cash
□ Pet Supplies
□ Comfort Items for Kids
□ Other: _______________________________________________________
HOME SAFETY STEPS BEFORE LEAVING
□ Turn off utilities if instructed
□ Lock doors and windows
□ Unplug electronics
□ Leave a note for responders (optional)
□ Other: _______________________________________________________
COMMUNICATION PLAN
Primary Contact Method: ________________________________________
Backup Method: _______________________________________________
Family Code Word: _____________________________________________
DRILL LOG
| Date Practiced | What Went Well | What to Improve |
