Emergency Number (Police/Fire) _____________________________
Doctor _____________________________________________________
Neighbor ___________________________________________________
Nearest Relative ___________________________________________
Husband's Work _____________________________________________
Wife's Work ________________________________________________
Electric Company ___________________________________________
Gas Company ________________________________________________
We will be at ______________________________________________
____________________________________________________________
Locks: ____________________________________________________
____________________________________________________________
Lights: ___________________________________________________
____________________________________________________________
Fire extinguisher (location): _____________________________
____________________________________________________________
What to do if there is a power failure: ___________________
____________________________________________________________
Visitors: _________________________________________________
____________________________________________________________
What to do if the smoke detector goes off: ________________
____________________________________________________________
Message to give if someone calls: _________________________
____________________________________________________________
Use of fireplace __________________________________________
____________________________________________________________
Water crisis (location of main water valve): ______________
____________________________________________________________
Food _______________________________________________________
____________________________________________________________
Other: ____________________________________________________
____________________________________________________________