Information to help you write out your plan

Family Evacuation Procedure
Where the Family will meet near home: Phone (if any):
Alternate meeting place if access to home is blocked: Phone (if any):
Family Communications Procedure
• Fill in the information below. Add other important information to suit your Family’s circumstances.
• Keep this plan with your emergency supplies kit, along with your command’s standard and emergency reporting procedures.
• Make sure every Family member has the most important contact information for each other.

Where Your family Spends Time
Work
Address:
Phone:
Evacuation Location:
School
Adress:
Phone:
Evactuation Location:
Other
Address:
Phone:
Evacuation Location:

Contact Information
Out-of-Town Contact:
Phone:
E-Mail:
Alternate Phone Number:

Family Members
Name:
Birth Date:
Social Security #:
Drivers License #:
Passport #:
Prescriptions/Medical Information:
Name:
Birth Date:
Social Security #:
Drivers License #:
Passport #:
Prescriptions/Medical Information:
Name:
Birth Date:
Social Security #:
Drivers License #:
Prescriptions/Medical Information:
Insurance Policy Numbers and Contacts
Medical/Dental:
Homeowners/Renters:
Automobile:
Life:

Provisions for Utilities
In various emergency situations, whether you evacuate or shelter-in-place, you may be advised to cut off ventilation systems or utilities. Write the locations of, and instructions for, these controls and any tools necessary to change them. (Like fire and evacuation plans, this is a good thing to review and practice with the whole Family.)
Electricity:
Gas:
Water:
Ventilation:
Army Disaster Personnel Accountability and Assessment System (ADPAAS)
Web site: https://adpaas.army.mil
• Army Info Hotline: 1-800-833-6622
• Army OneSource
Within CONUS: 1-800-464-8107
Outside CONUS (Collect): (484) 530-5980
(Toll Free): (800) 3429-6477
Hearing-impaired callers & TTY/TTD: 1-800-364-9188
Spanish-speaking callers: 1-888-732-9020 / 1-877-888-0727 / 1-877-255-7524
• Military OneSource
Within CONUS (24/7): 1-800-342-9647x