BE CERTAIN TO ADD THE PERSON YOU WISH TO RECEIVE THIS TO YOUR RECIPIENTS BOX BEFORE SELECTING THIS TEMPLATE. PLEASE NOTE THAT THIS DOCUMENT IS FOR INFORMATIONAL PURPOSES ONLY AND HAS NO LEGAL AUTHORITY. HOWEVER IT WILL PROVIDE YOUR FAMILY WITH THE INFORMATION THEY NEED IN AN EMERGENCY.
Make sure your family has a plan in case of an emergency. Before an emergency happens, decide how you will get in contact with each other, where you will go and what you will do in an emergency. Keep a copy of this plan in your emergency supply kit or another safe place where you can access it in the event of a disaster.
REMEMBER THIS DATA IS ENCRYPTED/LOCKED BEFORE IT LEAVES YOUR COMPUTER THERE IS ABSOLUTELY NO WAY POSSIBLE TO RETRIEVE THIS INFORMATON WITHOUT YOUR OR [[RECIPIENT_USERNAME]]'S PASSPHRASE PERIOD.
A community working together during an emergency makes sense.
- Talk to your neighbors about how you can work together during an emergency.
- Find out if anyone has specialized equipment like a power generator, or expertise such as medical knowledge, that might help in a crisis.
- Decide who will check on elderly or disabled neighbors.
- Make back-up plans for children in case you can't get home in an emergency.
- Sharing plans and communicating in advance is a good strategy.
DELETE THE ABOVE LINES BEFORE SAVING THIS DOCUMENT.
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IMPORTANT EMERGENCY INFORMATION
PRINT AND FOLLOW ACCORDING TO PLAN
From: [[SENDER_USERNAME]]
As of: [[TODAY_DATE]]
Dear [[RECIPIENT_USERNAME]],
This is an AUTHENTICATED document if this message has been sent to you it is because I have activated the VitalLock Personal Emergency Broadcast System. THIS IS NOT A TEST.
Out-of-Town Contact Name:_____________ Telephone Number:_____________ Email:_____________
Neighborhood Meeting Place:_____________ Telephone Number:_____________ Regional Meeting Place:_____________ Telephone Number:_____________ Evacuation Location:_____________ Telephone Number:_____________
Fill out the following information for each family member and keep it up to date. Name: [[SENDER_USERNAME]] SSN:_____________ DOB:_____________ Medical Info:_____________
Name: [[RECIPIENT_USERNAME]] SSN:_____________ DOB:_____________ Medical Info:_____________
Name:_____________ SSN:_____________ DOB:_____________ Medical Info:_____________
Name:_____________ SSN:_____________ DOB:_____________ Medical Info:_____________
Name:_____________ SSN:_____________ DOB:_____________ Medical Info:_____________
Name:_____________ SSN:_____________ DOB:_____________ Medical Info:_____________
Write down where your family spends the most time: work, school andother places you frequent. Schools, daycare providers, workplaces and apartment buildings should all have site-specific emergency plans that you and your family need to know about.
Work Location One Address:_____________ Phone Number:_____________ Evacuation Location:_____________ Work Location Two Address:_____________ Phone Number:_____________ Evacuation Location:_____________ Work Location Three Address:_____________ PhoneNumber:_____________ Evacuation Location:_____________ Other place you frequent Address:_____________ Phone Number:_____________ Evacuation Location:_____________ School Location One Address:_____________ Phone Number:_____________ Evacuation Location:_____________ School Location Two Address:_____________ Phone Number:_____________ Evacuation Location:_____________ School Location Three Address:_____________ Phone Number:_____________ Evacuation Location:_____________ Other place you frequent Address:_____________ Phone Number:_____________ Evacuation Location:_____________ Important Information Names Telephone Numbers Policy Numbers Doctor(s):_____________ Other:_____________ Pharmacist:_____________ Medical Insurance:_____________ Homeowners/Rental Insurance:_____________ Veterinarian/Kennel (forpets):_____________