Emergency Checklist
By Barb Stephens
Fill in the blanks with the correct information.
Then post this by
your phone so you can reference it in an emergency.
Police or Fire - 911
I am __________________________________________
I live at ________________________________________
_______________________________________________
My phone number is ______________________________
My birthdate is __________________________________
My parents are __________________________________
Mother's work phone number _______________________
Father's work phone number ________________________
My brothers and sisters and their birthdates are:
_______________________________ - _______________
_______________________________ - _______________
_______________________________ - _______________
Our doctor is _____________________________________
Phone number ____________________________________
Address _________________________________________
Names & Phone Numbers of Friends and Neighbors:
_______________________________ - _______________
_______________________________ - _______________