 | I will put my purse, car keys, and change for phone calls here
________________________________ |
| An extra set of keys, money, and copies of important documents will be left with
________________________________________________________________________________________ |
| I can install security systems including additional locks, window bars, poles to wedge
against doors or sliding windows, and electronic systems, etc. I can purchase rope
ladders. |
| I can install smoke detectors and purchase a fire extinguisher for each floor in my
house/apartment. |
| I can teach my children how to use the telephone to make a collect call to me and to
____________________________________________________________ (friend/minister/other). |
| I can tell people who can pick up my children (school, day care, babysitter, Sunday
School, etc.) |
| When I expect we are going to have an argument, I will try to move to a space that is
lowest risk, such as _________________________________________________________________
(Try to avoid arguments in the bathroom, garage, kitchens, near weapons or in rooms
without access to an outside door.) |
| I can tell ____________________________________________________ about the violence and
request they call the police if they hear suspicious noises from my house. |
| I will use _________________________________________________________ as my code word
with my children or my friends so they can call for help. |
| If in danger, I will first call 911. |
| If I need to leave quickly, I will go via
______________________________________________________ (e.g., the side door, bedroom
window, stairwell). |
| I will, as appropriate, practice an escape plan with my children. |
| Important items to take if leaving:
 | Identification |
| Birth certificates (me too) |
| Address Book |
| Social Security cards |
| Medications |
| Work permits |
| Divorce papers |
| Pictures/items of value |
| School and vaccinations records |
| Checkbook, ATM card |
| Keys-house/car/office |
| Driver's license & registration |
| Medical records-for all family members |
| Green card |
| Insurance papers |
| Favorite toys and/or blankets |
|
| I will review my safety plan every ______________________________________________(three,
six, nine, twelve months. |
