Free Personal Emergency Plan

Prepared by: [Your Name]

I. Personal Information

Name: Jollie Cassin

Address: Arlington, TX 76001

Emergency Contacts:

• Primary Contact: Ena Cassin (Spouse) – 555-123-4567

• Secondary Contact: Robert Smith (Neighbor) – 555-987-6543

• Emergency Services: 911

II. Emergency Contacts

A. Family and Friends

• Ena Cassin (Spouse) – 555-123-4567

• Sarah Johnson (Sister) – 555-234-5678

B. Professional Contacts

• Dr. Emily Brown (Primary Care Physician) – 555-345-6789

• Insurance Agent: Mark Lee – 555-456-7890

III. Medical Information

A. Medical Conditions

• Asthma

• High Blood Pressure

B. Medications

• Albuterol Inhaler: 2 puffs as needed for asthma attacks

• Lisinopril: 10 mg daily for high blood pressure

C. Allergies

• Penicillin

• Peanuts

D. Physicians

• Dr. Emily Brown (Primary Care Physician) – 555-345-6789

IV. Emergency Kit Checklist

A. Essentials

• Water: 1 gallon per person per day (3-day supply)

• Non-perishable food: Canned goods, protein bars

• Flashlight and extra batteries

B. Medical Supplies

• First aid kit

• Prescription medications

C. Miscellaneous

• Multi-tool

• Cash in small denominations

V. Evacuation Plan

A. Routes

• Primary Route: Main Street to Interstate 5

• Secondary Route: Backroads through Oak Avenue

B. Meeting Points

• Primary: Springfield Community Center

• Secondary: Neighbor’s house (Robert Smith)

C. Transportation Details

• Vehicle: 2050 Toyota Camry (full gas tank maintained)

VI. Communication Plan

A. During an Emergency

• Use text messages to conserve phone battery.

• Notify Jane Doe and Robert Smith of their current status and location.

B. After an Emergency

• Check-in with Sarah Johnson and other family members to confirm safety.

VII. Special Needs Considerations

A. For Individuals

• Asthma: Always carry an inhaler.

• High blood pressure: Maintain a 7-day supply of medication.

B. For Pets

• Dog (Buddy): Pack a 3-day supply of dog food, leash, and vaccination records.

VIII. Key Documents

A. Location of Documents

• Fireproof safe in the master bedroom closet.

B. Documents to Include

• IDs: Driver’s licenses, passports

• Financial Records: Bank statements, insurance policies

• Legal Documents: Will, power of attorney

C. Backup Copies

• Digital copies are stored on a password-protected USB drive.

Plan Templates @ Template.net