Family Emergency Contact Planner

My Family Plan worksheet

Family Emergency Contact Planner

Organize the people, professionals, and organizations your household may need to reach. Complete it in your browser, print it, or download a blank fillable copy.

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U.S. emergency references

  • 911 โ€” Immediate police, fire, or medical emergency
  • 988 โ€” Call or text for mental-health, suicide, or substance-use crisis support
  • 1-800-222-1222 โ€” Poison Help, connecting callers to a local poison center

For use in the United States. Verify local and international contacts for your household. This planner is organizational education and not medical, legal, financial, or emergency advice.

Family and trusted support

Primary family contact or decision-maker
Backup family contact
Trusted neighbor, friend, faith, or community contact

Health and care

Primary care office
Specialist, hospice, home-health, or care manager
Pharmacy

Legal, financial, benefits, and insurance

Attorney or legal office
Financial advisor, accountant, or benefits contact
Insurance company or agent

Home, property, pets, and dependents

Landlord, property manager, or trusted home service
Veterinarian, pet care, or dependent-care contact
Utility or home emergency contact