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Family Emergency Contact Information
F
ill in important family contact information and keep a copy by the phone. It's advisable to carry this information with you at all times in case of an emergency. Keep a copy in your car, motor home, cottage, children’s knapsack or lunch kit. Another suggestion is to have this information carried in your wallet in a smaller format.

FAMILY EMERGENCY CONTACT INFORMATION

Your Name ________________________________________________________

DOB __________

Local Contact

Name _______________________________________________________

Telephone (Day) ______________ Evening ______________

Nearest Relative

Name _______________________________________________________

City ______________ Province ______________

Telephone (Day) ______________ Evening ______________

Family Work Numbers

Number ______________ Relationship ______________

Number ______________ Relationship ______________

 

Out-of Province Contact

Name _______________________________________________________

City ______________ Province ______________

Telephone (Day) ______________ Evening ______________

Family Physician

Name __________________________________________ Phone ______________

Albert Alberta Health Care Number __________________________________________

Medical alerts/conditions_______________________________________________________

_____________________________________________________________________

_____________________________________________________________________

Evacuation and Reunion Location

Outside, near your home __________________________________________

Away from the neighbourhood __________________________________________

Alternate telephone number __________________________________________

Other Information_______________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________