Fill this in together. Give every adult and older child a copy.
| Name | Date of birth | Blood type | Allergies / conditions | Medications + doses |
|---|---|---|---|---|
Special needs (disability, pregnancy, infants, elderly)
Doctor / clinic and phone
Out-of-area contact (everyone calls or texts this one person): name, phone
Local contact: name, phone
School / childcare: phone
Work (adult 1): phone
Work (adult 2): phone
Neighbour who can help: name, phone
Just outside the home (fire, gas leak)
In the neighbourhood (if we cannot go home)
Outside the town or city (if the area is unsafe)
Evacuation destination (family, friends, shelter)
Route A
Route B (different direction)
Who collects the children
Who helps elderly or disabled family members
Who takes documents and the go-bag
Who takes care of pets
Who turns off gas / water / electricity (only if safe and you know how)
Go to the agreed meeting point and wait. Register with local authorities and humanitarian organisations. The Red Cross / Red Crescent Restoring Family Links service helps families separated by conflict, disaster or migration: familylinks.icrc.org
Printable cards are in the PDF packs.
Free printable guides and the HAVEN offline survival app: [havensurvival.com](https://havensurvival.com)