FIRE * POLICE * MEDICAL
DIAL 9 - 1 - 1

PLACES TO MEET if family members / neighbors become separated:
1._____________________________________________________________
2._____________________________________________________________
3._____________________________________________________________

OUT OF STATE RELATIVE / FRIEND for relaying messages : 
Name:__________________________________________________________
Address:________________________________________________________
Phone:__________________________________________________________

UTILITIES:
Gas Shutoff Valve:_________________________________________________
Water Shutoff Valve:_______________________________________________
Main Electrical Box:________________________________________________

EMERGENCY SUPPLIES: (Type and Location)________________________
_______________________________________________________________

FAMILY INFORMATION:
Employers Work Address / Phone Number:
_________________________________
_________________________________
_________________________________
_________________________________
_________________________________
_________________________________

Child's School Address/Phone Number:
_________________________________
_________________________________
_________________________________

School Policy is to:
___Hold the Children
___Release the Children
___Other

Child's School Address/Phone Number:
_________________________________
_________________________________
_________________________________
School Policy is to:
___Hold the Children
___Release the Children
___Other

Doctor: __________________________
Hospital: _________________________
NEAREST MEDICAL CENTER:
_________________________________

Dentist:___________________________
Ambulance:________________________
NEAREST FIRE STATION:
__________________________________
POISON CONTROL CENTER: 
___________________________