Fillable 1096 Create Your Family Emergency Communication Plan

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1096 Create Your Family Emergency Communication Plan

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BE SMART. TAKE PART.
E
CR
M
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E
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YO
GE
UR FA
NC
MIL
Y
Y
COMMUNICATION PLAN
Join with others to prepare for emergencies and participate in
America’s PrepareAthon!
|
ready.gov/prepare
Creating your Family Emergency Communication Plan starts with one simple question: “What if?”
“What if something happens and I’m not with my family?” “Will I be able to reach them?” “How will I know they
are safe?” “How can I let them know I’m OK?” During a disaster, you will need to send and receive information
from your family.
Communication networks, such as mobile phones and computers, could be unreliable during disasters, and electricity
could be disrupted. Planning in advance will help ensure that all the members of your household—including children
and people with disabilities and others with access and functional needs, as well as outside caregivers—know how
to reach each other and where to meet up in an emergency. Planning starts with three easy steps:
1. COLLECT.
Create a paper copy of the contact information for your family and other
important people/offices, such as medical facilities, doctors, schools, or
service providers.
2. SHARE.
Make sure everyone carries a copy in his or her backpack, purse, or
wallet. If you complete your Family Emergency Communication Plan online
at ready.gov/make-a-plan, you can print it onto a wallet-sized card. You
should also post a copy in a central location in your home, such as your
refrigerator or family bulletin board.
3. PRACTICE.
Have regular household meetings to review and practice your plan.
If you are using a mobile phone, a text message may get
through when a phone call will not. This is because a text
message requires far less bandwidth than a phone call. Text
messages may also save and then send automatically as soon
as capacity becomes available.
TEXT
IS
BEST!
July 2015
2
America’s PrepareAthon! ready.gov/prepare
The following sections will guide you through the process to create and practice your
Family Emergency Communication Plan.
CO
INF
LLE
ORMATIO
C
N
T
HOUSEHOLD INFORMATION
Write down phone numbers and email addresses for everyone in your household.
Having this important information written down will help you reconnect with others
in case you don’t have your mobile device or computer with you or if the battery
runs down. If you have a household member(s) who is Deaf or hard of hearing, or
who has a speech disability and uses traditional or video relay service (VRS), include
information on how to connect through relay services on a landline phone, mobile
device, or computer.
SCHOOL, CHILDCARE, CAREGIVER, AND WORKPLACE
EMERGENCY PLANS
Because a disaster can strike during school or work hours, you need to know their
emergency response plans and how to stay informed. Discuss these plans with
children, and let them know who could pick them up in an emergency. Make sure
your household members with phones are signed up for alerts and warnings from
their school, workplace, and/or local government. To find out more about how to
sign up, see Be Smart. Know Your Alerts and Warnings at http://1.usa.gov/1BDloze.
For children without mobile phones, make sure they know to follow instructions
from a responsible adult, such as a teacher or principal.
OUT-OF-TOWN CONTACT
It is also important to identify someone outside of your community or State who
can act as a central point of contact to help your household reconnect. In a disaster,
it may be easier to make a long-distance phone call than to call across town
because local phone lines can be jammed.
EMERGENCY MEETING PLACES
Decide on safe, familiar places where your family can go for protection or to reunite.
Make sure these locations are accessible for household members with disabilities
or access and functional needs. If you have pets or service animals, think about
animal-friendly locations. Identify the following places:
Indoor: If you live in an area where tornadoes, hurricanes, or other high-wind
storms can happen, make sure everyone knows where to go for protection.
This could be a small, interior, windowless room, such as a closet or bathroom,
on the lowest level of a sturdy building, or a tornado safe room or storm shelter.
In your neighborhood: This is a place in your neighborhood where your
household members will meet if there is a fire or other emergency and you
need to leave your home. The meeting place could be a big tree, a mailbox at
the end of the driveway, or a neighbor’s house.
Outside of your neighborhood: This is a place where your family will meet if
a disaster happens when you’re not at home and you can’t get back to your
home. This could be a library, community center, house of worship, or family
friend’s home.
3
America’s PrepareAthon! ready.gov/prepare
•
•
Outside of your town or city: Having an out-of-town meeting place can help you
reunite if a disaster happens and:
You cannot get home or to your out-of-neighborhood meeting place; or
Your family is not together and your community is instructed to evacuate
the area.
This meeting place could be the home of a relative or family friend. Make sure
everyone knows the address of the meeting place and discuss ways you would
get there.
OTHER IMPORTANT NUMBERS AND INFORMATION
You should also write down phone numbers for emergency services, utilities,
service providers, medical providers, veterinarians, insurance companies, and
other services.
SHARE
MAKE SURE
EVERYONE HAS
THE INFORMATION
Make copies of your Family Emergency Communication Plan for each member
of the household to carry in his or her wallet, backpack, or purse. Post a copy
in a central place at home. Regularly check to make sure your household
members are carrying their plan with them.
Enter household and emergency contact information into all household
members’ mobile phones or devices.
Store at least one emergency contact under the name “In Case of Emergency”
or “ICE” for all mobile phones and devices. This will help someone identify your
emergency contact if needed. Inform your emergency contact of any medical
issues or other requirements you may have.
Create a group list on all mobile phones and devices of the people you would
need to communicate with if there was an emergency or disaster.
Make sure all household members and your out-of-town contact know how
to text if they have a mobile phone or device, or know alternative ways to
communicate if they are unable to text.
Read Be Smart. Know Your Alerts and Warnings at http://1.usa.gov/1BDloze and
sign up to receive emergency information.
P
NO
R
W IT
AC
’S
T
TIM
ICE
E TO
!
Once you have completed your Family Emergency Communication Plan, made
copies for all the members of your household, and discussed it, it’s time to
practice!
Here are some ideas for practicing your plan:
Practice texting and calling. Have each person practice sending a text message
or calling your out-of-town contact and sending a group text to your mobile
phone group list.
Discuss what information you should send by text. You will want to let others
know you are safe and where you are. Short messages like “I’m OK. At library”
are good.
4
Talk about who will be the lead person to send out information about the
designated meeting place for the household.
Practice gathering all household members at your indoor and neighborhood
emergency meeting places. Talk about how each person would get to the
identified out-of-neighborhood and out-of-town meeting places. Discuss all
modes of transportation, such as public transportation, rail, and para-transit for
all family members, including people with disabilities and others with access
and functional needs.
Regularly have conversations with household members and friends about the
plan, such as whom and how to text or call, and where to go.
To show why it’s important to keep phone numbers written down, challenge
your household members to recite important phone numbers from memory—
now ask them to think about doing this in the event of an emergency.
Make sure everyone, including children, knows how and when to call 911 for
help. You should only call 911 when there is a life-threatening emergency.
Review, update, and practice your Family Emergency Communication Plan at
least once a year, or whenever any of your information changes.
To help start the conversation or remind your family why you are taking
steps to prepare and practice, you may want to watch the 4-minute video,
It Started Like Any Other Day, about families who have experienced disaster, at
www.youtube.com/watch?v=w_omgt3MEBs. Click on the closed captioning (CC)
icon on the lower right to turn on the captioning.
After you practice, talk about how it went. What worked well? What can be
improved? What information, if any, needs to be updated? If you make updates,
remember to print new copies of the plan for everyone.
OTHER IMPORTANT TIPS FOR COMMUNICATING IN DISASTERS
1
Text is best when using a mobile phone, but if you make a phone call, keep it
brief and convey only vital information to emergency personnel and/or family or
household members. This will minimize network congestion, free up space on
the network for emergency communications, and conserve battery power.
Wait 10 seconds before redialing a number. If you redial too quickly, the data
from the handset to the cell sites do not have enough time to clear before
you’ve re-sent the same data. This contributes to a clogged network.
Conserve your mobile phone battery by reducing the brightness of your screen,
placing your phone in airplane mode, and closing apps you do not need. Limit
watching videos and playing video games to help reduce network congestion.
Keep charged batteries, a car phone charger, and a solar charger available for
backup power for your mobile phone, teletypewriters (TTYs), amplified phones,
and caption phones. If you charge your phone in your car, be sure the car is in a
well-ventilated area (e.g., not in a closed garage) to avoid life-threatening carbon
monoxide poisoning.
1
Federal Communications Commission, Public Safety and Homeland Security Bureau. (n.d.) Tips for communicating
in an emergency. Retrieved from http://transition.fcc.gov/pshs/emergency-information/tips.html
5
If driving, do not text, read texts, or make a call without a hands-free device.
Maintain a household landline and analog phone (with battery backup if it has a
cordless receiver) that can be used when mobile phone service is unavailable.
Those who are Deaf or hard of hearing, or who have speech disabilities and
use devices and services that depend on digital technology (e.g., VRS, Internet
Protocol [IP] Relay, or captioning) should have an analog phone (e.g., TTY,
amplified phone, or caption phone) with battery backup in case Internet or
mobile service is down.
If you evacuate and have a call-forwarding feature on your home phone,
forward your home phone number to your mobile phone number.
Use the Internet to communicate by email, Twitter, Facebook, and other
social media networks. These communication channels allow you to share
information quickly with a widespread audience or to find out if loved ones
are OK. The Internet can also be used for telephone calls through Voice over
Internet Protocol. For those who are Deaf or hard of hearing, or who have
speech disabilities, you can make calls through your IP Relay provider.
If you do not have a mobile phone, keep a prepaid phone card to use if needed
during or after a disaster.
Use a pay phone if available. It may have less congestion because these
phones don’t rely on electricity or mobile networks. In some public places, you
may be able to find a TTY that can be used by those who are Deaf or hard of
hearing, or who have speech disabilities.
The reader recognizes that the Federal Government provides links and informational data on various disaster preparedness
resources and events and does not endorse any non-Federal events, entities, organizations, services, or products.
America’s PrepareAthon! is a grassroots campaign for action to get more people prepared for emergencies.
Make your actions count at ready.gov/prepare.
10 WAYS TO PARTICIPATE IN
Access Alerts
and Warnings
Test
Communication Plans
Assemble or
Update Supplies
Drill or Practice
Emergency Response
Participate in a Class,
Training, or Discussion
Plan with
Neighbors
Conduct an
Exercise
Make Property
Safer
Document and
Insure Property
Safeguard
Documents
i
America’s PrepareAthon!
FAMILY EMERGENCY COMMUNICATION PLAN
HOUSEHOLD
INFORMATION
Home #: ...........................................................
Address: ............................................................
Name: ..................... Mobile #: ........................
Other # or social media: ...................................
Email: ...............................................................
Important medical or other information: ...........
..........................................................................
Name: ..................... Mobile #: ........................
Other # or social media: ...................................
Email: ...............................................................
Important medical or other information: ...........
..........................................................................
Name: ..................... Mobile #: ........................
Other # or social media: ...................................
Email: ...............................................................
Important medical or other information: ...........
..........................................................................
Name: ..................... Mobile #: ........................
Other # or social media: ...................................
Email: ...............................................................
Important medical or other information: ...........
..........................................................................
Name: ..............................................................
Address: ............................................................
Emergency/Hotline #: .......................................
Website: ...........................................................
Emergency Plan/Pick-Up: .................................
SCHOOL,
CHILDCARE,
CAREGIVER, AND
WORKPLACE
EMERGENCY PLANS
ii
America’s PrepareAthon!
SCHOOL,
CHILDCARE,
CAREGIVER, AND
WORKPLACE
EMERGENCY PLANS
Name: ..............................................................
Address: ............................................................
Emergency/Hotline #: .......................................
Website: ...........................................................
Emergency Plan/Pick-Up: .................................
Name: ..............................................................
Address: ............................................................
Emergency/Hotline #: .......................................
Website: ...........................................................
Emergency Plan/Pick-Up: .................................
Name: ..............................................................
Address: ............................................................
Emergency/Hotline #:
Website: ...........................................................
Emergency Plan/Pick-Up: .................................
.......................................
Name: ..................... Mobile #: ........................
Home #: ...................Email: .............................
Address: ...........................................................
Name: ..................... Mobile #: ........................
Home #: ...................Email: .............................
Address: ...........................................................
Indoor: ..............................................................
Instructions: .....................................................
Neighborhood: .................................................
Instructions: .....................................................
Out-of-Neighborhood: .......................................
Address: ............................................................
Instructions: .....................................................
Out- of-Town: ....................................................
Address: ............................................................
Instructions: .....................................................
IN CASE OF
EMERGENCY
(ICE) CONTACT
OUT-OF-TOWN
CONTACT
EMERGENCY
MEETING PLACES
iii
America’s PrepareAthon!
IMPORTANT
NUMBERS OR
INFORMATION
Police: .................. Dial 911 or #: ....................
Fire: ...................... Dial 911 or #: ....................
Poison Control: ........................ #: ....................
Doctor: ....................................#: ....................
Doctor: ....................................#: ....................
Pediatrician: ............................. #: ....................
Dentist: ...................................#: ....................
Hospital/Clinic: ........................#: ....................
Pharmacy: ...............................#: .....................
Medical Insurance: ..................#: ....................
Policy #: ............................................................
Medical Insurance: .................. #: ....................
Policy #: ............................................................
Homeowner/Rental Insurance: .........................
#: ......................................................................
Policy #: ............................................................
Flood Insurance: ......................#: ....................
Policy #: ............................................................
Veterinarian: ............................#: ....................
Kennel: ....................................#: ....................
Electric Company: ...................#: ....................
Gas Company: ........................#: ....................
Water Company: .....................#: ....................
Alternate/Accessible Transportation: ................
#: ......................................................................
Other: .....................................#: ....................
Other: .....................................#: ....................
Other: .....................................#: ....................
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