Foster Home Disaster Response Plan Template
Foster Home Information
Foster Home Name
Primary Caregiver Name
Address
Phone Number
Email
Date Completed
Emergency Contacts
Local Emergency Contact Name
Relationship
Phone Number
Secondary Emergency Contact Name
Relationship
Phone Number
Foster Agency/Caseworker
Agency Phone Number
Household Members & Pets
List all household members, including foster children (Name & Age)
List all pets (Type & Name)
Evacuation Plan
Primary Evacuation Route
Alternate Evacuation Route
Designated Meeting Location Outside Home
Transportation Arrangements
Emergency Kit Location(s)
Where are emergency supplies stored?
List key items in kit (food, water, medication, etc.)
Utilities Shut-Off Instructions
Gas Shut-Off Location & Instructions
Water Shut-Off Location & Instructions
Electricity Shut-Off Location & Instructions
Special Instructions
Specific needs for household members or pets (medical, mobility, language, dietary, etc.)
Additional Notes