Family Disaster Plan - Form - fill in household and emergency details

Sep 23, 2026

Upload by Mimi

Family Disaster Plan form for recording household details and emergency planning. It collects names and contact information, pet registration information, and defines likely disaster scenarios, home escape routes, and meeting places inside and outside the neighborhood. The plan includes emergency contacts, school/daycare evacuation destinations, disability or special-needs arrangements, shelter-in-place guidance, and individual responsibilities such as disaster kit preparation and sharing updates every six months. Includes post-disaster “Safe and Well” registration guidance.

LanguageEnglish

CategoryForms

FormatPDF

Pages3

Reading Time1 min

AccessFree to download

Plan of Action

Household details

Escape routes and meeting places

Emergency contacts and evacuation destinations

Special needs and shelter in place

Responsibilities and disaster kit

Family Disaster Plan Family Last Name(s) or Household Address: Date: Family Member/Household Contact Info (If needed, additional space is provided in \#10 below) : Name Home Phone Cell Phone Email: Pet(s) Info: Name: Type: Color: Registration \#: Plan of Action 1. The disasters most likely to affect our household are: 2. What are the escape routes from our home? 3. If separated during an emergency, what is our meeting place near our home? 4. If we cannot return home or are asked to evacuate, what is our meeting place outside of our neighborhood? What is our route to get there and an alternate route, if the first route is impassible? 5. In the event our household is separated or unable to communicate with each other, our emergency contact outside of our immediate area is: Name Home Phone Cell Phone Email: After a disaster, let your friends and family know you are okay by registering at “Safe and Well” at [https://safeandwell.communityos.org/cms//](https://safeandwell.communityos.org/cms// or by calling 1‐800‐733‐2767. You can also give them a)[ or by calling 1‐800‐733‐2767. You can also give them a](https://safeandwell.communityos.org/cms// or by calling 1‐800‐733‐2767. You can also give them a)[ ](https://safeandwell.communityos.org/cms// or by calling 1‐800‐733‐2767. You can also give them a)call, send a quick text or update your status on social networking sites. 6. If at school/daycare, our child(ren) will be evacuated to: Child’s Name: Evacuation Site (address and contact info): 7. Our plan for people in our household with a disability or special need is: Person’s Name: Plan: 8. During certain emergencies local authorities may direct us to “shelter in place” in our home. An accessible, safe room where we can go, seal windows, vents and doors and listen to emergency broadcasts for instructions, is: 9. Family Member Responsibilities in the Event of a Disaster | Task | Description | Family
Member
Responsible | | --- | --- | --- | | Disaster Kit* | Stock the disaster kit and take it if evacuation is necessary. Include items you might want to take to an evacuation shelter. Remember to include medications and eye glasses. | | | Be informed | Maintain access to NOAA or local radio, TV, email or text alerts for important and current information about disasters. | | | Family Medical Information | Make sure the household medical information is taken with us if evacuation is necessary. | | | Financial Information | Obtain copies of bank statements and cash in the event ATMs and credit cards do not work due to power outages. Bring copies of utility bills as proof of residence in applying for assistance. | | | Pet
Information | Evacuate our pet(s), keep a phone list of pet‐friendly motels and animal shelters, and assemble and take the pet disaster kit. | | | Sharing and
Maintaining the Plan | Share the completed plan with those who need to know. Meet with household members every 6 months or as needs change to update household plan. | | *What supplies and records should go in your disaster kit? [Visit](Visit www.redcross.org)[ ](Visit www.redcross.org)[www.redcross.org](Visit www.redcross.org) 10. Other information, if not able to be included above. Congratulations on completing your family disaster plan! Please tell others: “We’ve made a family disaster plan and you can, too, with help from the American Red Cross.” Get the facts about what you should do if an emergency or disaster occurs [at](at www.redcross.org)[ ](at www.redcross.org)[www.redcross.org](at www.redcross.org)

FAQs

What information does the Family Disaster Plan collect for the household?

It records family last names or household address, member contact info (home phone, cell phone, email), and pet information including name, type, color, and registration number.

How does the form define escape and meeting plans during an emergency?

It prompts for likely disasters, escape routes from home, meeting places near the home, and meeting places outside the neighborhood if evacuation is required, including routes and alternate routes.

What responsibilities and supplies are outlined in the plan after a disaster?

It lists tasks such as stocking the disaster kit, maintaining alerts, taking medical and financial information, evacuating pets, and sharing and updating the plan every six months.

Sep 23, 2026

Upload by Mimi