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Emergency Preparedness Kit

 

Emergency Preparedness Resources for Children with Disabilities and Special Health Care Needs and Their Families

 

Emergency Readiness Toolkit

  • Part 1 - Information and resources for creating a personalized family emergency plan. Includes printable Family Emergency Plan Template forms (version to be completed on computer below).portable document file, size 2 mb

  • Part 2 - Supplemental print resources for familiesportable document file, size 8 mb

Family at table

Family Emergency Plan Template (fillable forms)

  • Cover Sheet portable document file, size 221 kb
  • Form 1 - Emergency Information Form portable document file, size 482 kb
  • Form 2 - Emergency Information Form Instructions and Checklist portable document file, size 809 kb
  • Form 3 - Medical Information Form portable document file, size 586 kb
  • Form 4 - Household Communication/Connections portable document file, size 259 kb
  • Form 5 - Comfort Items Checklist portable document file, size 247 kb
  • MA Disability Indicator Form (Voluntary form for your town’s 911 system)portable document file, size 61 kb

Online Emergency Resources for Families by Topic portable document file, size 47 kb

Top 10 List of Steps to Get Ready for Emergencies portable document file, size 85 kb


[back to Emergency Preparedness Initiative]

 

 

For more information about the Emergency Preparedness Initiative contact Sue Wolf-Fordham, (781) 642-0275 or susan.wolf-fordham@umassmed.edu

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This is an official Page of the University of Massachusetts Worcester Campus
Shriver Center 200 Trapelo Road Waltham, Massachusetts 02452-6319
Questions or Comments? Email: shriver.center@umassmed.edu Phone: 781-642-0001
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