Be Prepared: Hosted by the Ad Council and Ready Campaign

QuickShare My Emergency Information

The form below allows you to create email text containing basic emergency information that you can share with others. The form includes your contact information, your emergency contact, your out-of-town contact, and your neighborhood meeting place. Once you've entered in the information into the fields below, the application will generate the text that you can easily copy and paste into an email to send to the family and/or friends who you'd contact in the event of an emergency. To complete a comprehensive family emergency plan, go to the My Family Emergency Plan section.
Disclaimer

NOTE: This application is designed to aid you in assembling a quick reference list of contact information for your family, and a meeting place for emergency situations. Click "Copy to clipboard" to copy the information to your clipboard, so that you can paste it into email or text documents you can send to others or save on your computer.

Once you close this window, navigate away from the page, or if you are idle for more than 10 minutes, your clipboard will automatically be erased.

My Contact Information

Fill out each field with your contact information including your first name, your last name, your telephone number, and your e-mail address

First Name:
Last Name:
Telephone number:
E-mail address:

My Emergency Contact

Fill out each field with your emergency contact's name, their telephone number, and their e-mail address.

First Name:
Last Name:
Telephone number:
E-mail address:

My Out-of-Town Contact

Fill out each field with your out-of-town contact's name, their telephone number, and their e-mail address.

First Name:
Last Name:
Telephone number:
E-mail address:

My Neighborhood Meeting Place

Fill out each field with the information on where you meet in case of an emergency. Include the street address, the city, the state, the zip code, and the location's telephone number.

Street:
Street 2:
City:
State:		Zip:
Telephone number:
Generate Text

Copy the text below by clicking the "copy to clipboard" link below. Paste the text into a blank message in your personal e-mail program.

« back | copy to clipboard copied!

Tools to be ready

My Emergency Widget

Place or embed this on your blog or Web page to have it provide updates on emergency situations as well as guidelines on how you can better prepare. Click on the widget and then click the "Get & Share" button to access the embed code and share buttons.

Additional Tools

Your family may not be together when an emergency happens, so it is important to plan in advance how you will contact one another and how you will get back together.

Download the Family Emergency Plan.

Adobe Acrobat PDF - 512 Kb

Click here to download a free PDF reader

Excel Worksheet - 400 Kb

For an interactive Family Emergency Plan, click here.

Recommended items to include in a Basic Emergency Supply Kit

Downloading and Ordering Ready Publications

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