A blank resource to use privately
Family emergency contacts: blank template
Read the template below, then copy it into your own private note or download the text file. Fill in your copy, with the people involved.
No signup. There are no fields to fill in or submit on this page.
Need immediate police, fire or medical help in the United States? Call 911 first. Follow the dispatcher's instructions. Call if you can; text 911 if you cannot call, where available. Text-to-911 is not available everywhere. This worksheet does not provide emergency assistance.
Use these contacts for routine help and family updates. Complete your copy privately. Keep passwords, door codes, account numbers and medical details off this sheet.
Last reviewed:
First person to contact
- Name:
- Relationship:
- Phone (include area code):
- Help agreed:
Backup if the first person is unavailable
- Name:
- Relationship:
- Phone (include area code):
- Help agreed:
Nearby helper
- Name:
- Relationship:
- Phone (include area code):
- Help agreed:
Out-of-area check-in person
- Name:
- Relationship:
- Phone (include area code):
- Help agreed:
Before you share and when details change
- Ask each person first. Agree on the help they can offer and who may receive their details.
- Check the numbers. Save them in your phone. Try an ordinary call or text together; do not call 911 simply to test it.
- Keep a paper copy with you and one in an agreed place at home.
- Share only with people who need it. A contact sheet contains personal information.
- Review at least yearly and after a change in details or willingness to help. Update the review date and replace outdated copies.
General preparedness guidance for U.S. readers. For the complete explanation and a worked example, read the family emergency contact list guide.
Guidance: National 911 Program, text-to-911 FAQ, National Weather Service family communications, and FEMA's family emergency communication plan.