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Disaster
Recovery
Vital Family Records
Retention Forms
Don't Wait
– Communicate!
Fill-in the Blanks, Save and Print
Open Source Downloadable Forms
With little notice we can be
displaced or isolated because of fire, flood,
tornado, hurricane, chemical spill, earthquake, avalanche,
tsunamis or act of terrorism. Reconstructing your life after
a disaster can be an exhausting, expensive and a lengthy task.
Your disaster resistance to these events can be increased
through preparation by providing important personal information
in your go-bag. Access to this information immediately after an emergency will greatly assist
the reconstruction of your life as it was previously.
Instructions:
Download individual forms or the
combo pack (all forms) and
save each form with a name specific to you or your family.
Each family member may want their own form. Every form
includes a 'save as' button and a 'print'
button. You may require additional pages for some categories
so each form includes 'page___ of ___' for easy organization. Then
save and print each form and place in a soft cover binder or
pouch for inclusion in your go-bag.
As information changes over time, update individual
forms, save and print the update and replace outdated sheets in your
go-bag. Take steps to keep this electronic and
printed information safe and secure.
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Click Title to Download
Form
Download Instructions Here
use only with a PDF reader
not in a browser |
Comments |
Data Retention Forms
(Combo
Pack) Zip,
1 MB |
All forms listed
below |
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Alternate Key Holder Form |
Provide a readily
available house key via an alternate key holder,
registered with the 9-1-1 center, to provide
quick and non intrusive entrance into your home.
When you call 9-1-1 for service, often the
Fire/EMS or the Police will have a need to enter
you home quickly. When you are not able to
unlock your entry door or not at home (such as a
fire alarm), what will they do? They look for an
unlocked door, an open window or another non
intrusive entry point. When time is critical
they may proceed with a trained procedure called "forced entry." |
Alternate Key Holders
Information
Sheet |
Complete this form and provide to your alternate
key holder so they can provide info to first
responders if you are unable or not available. |
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Codes, IDs and Passwords |
Our life is
governed by IDs and Passwords. Have them readily
available in a Grab & Go format |
Contact Us Through
These People |
List the people or organizations through which
you can be contacted in times of an emergency |
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DIY Form |
Open format, design
you own. |
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Education |
Employment,
licenses and permits may depend on accurate
education records |
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Employment |
Knowing your
employment history can be critical to gaining
future employment. |
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Emergency Medical Data |
Pre-record your medical history for rapid access
by responders |
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Family |
Record accurate
and complete contact information for your family |
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Family Emergency Communication Plan |
Contact card for each family member. Keep these
cards with you at all times. From
CDC Emergency Preparedness and Response |
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Financial Assets |
Access may depend
on knowing account numbers for banks, savings,
investments, property etc. Automatic
renewal may need canceling after an emergency |
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Health Care |
List your Medical Doctors, Dentist, Therapist,
Alertest, Pediatrician or other health care
professionals |
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Income Sources |
Often required to redirect payments following the
emergency |
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Insurance |
Often required
immediately following the emergency |
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Legal Documents |
What and where are
they |
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Licenses, Permits
and Authorizations |
What are they and
when is renewal. Accurate information can be
critical to gaining future employment. |
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Memberships |
Where are you member and the contact information |
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Notification Upon Death |
Complete your own list using this form. Because
many people,
organizations, and financial obligations require
notification upon death, here are two excellent
checklist from the
National Funeral Directors Association and a
document prepared for the State of Washington by
Legal Voice.org |
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Personal Data |
Includes personal
information
necessary to reconstruct your life |
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Phone List |
You may require
multiple pages to complete your list |
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Physical Assets |
What and where are
they? Particularly off-site assets like condos,
boats, campers, cottage, storage units,
vehicles, |
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Resident Locations |
Where have you
lived thus far in your life |
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Utility Locations |
Exact location
knowledge can greatly assist rapid shut-off |
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Utility Providers
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Quick contact may
be required immediately following the emergency |
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