Personal Emergency Checklist

Transcription

1 Personal Emergency Checklist Date: _ Self Full legal name Cell phone Address Social Security # Birth date Driver s license # Primary care physician name & phone Health insurance plan name & ID # Blood type Allergies Medications and dosage Dentist name & phone Employer & address Work phone HR contact name & phone Supervisor name & phone Spouse Full legal name Cell phone Address Social Security # Birth date Driver s license # Primary care physician name & phone Health insurance plan name & ID # Allergies Medications and dosage Dentist name & phone Employer & address Work phone HR contact name & phone Supervisor name & phone Emergency Contact List Name Home phone Cell phone Name Home phone Cell phone Name Home phone Cell phone

2 Personal Emergency Checklist Children Name Social Security # Grade Health insurance plan name & ID # Medications & dosage Allergies Name Social Security # Grade Health insurance plan name & ID # Medications & dosage Allergies Name Social Security # Grade Health insurance plan name & ID # Medications & dosage Allergies Name Social Security # Grade Health insurance plan name & ID # Medications & dosage Allergies Pediatrician name & phone Address Dentist name & phone Address Specialist name & phone Address Daycare provider & phone Address Pets Veterinarian name & phone Pet name Special considerations Pet name Special considerations John Hancock Funds, LLC, 601 Congress Street, Boston, MA , Member FINRA

3 Financial Emergency Checklist Insurance Date: _ Protection Insurance company name Address Life insurance policy # Disability policy # Long-term care policy # Other Household Insurance company name Address Agent Homeowner policy # Umbrella policy # Auto policy # Other Financial Financial professional name Firm name & address Account 1 Account 3 Account 2 Account 4 Financial professional name Firm name & address Account 1 Account 3 Account 2 Account 4 Financial professional name Firm name & address Account 1 Account 3 Account 2 Account 4 Other professionals Attorney name Firm name & address Tax professional name Firm name & address Other

4 Financial Emergency Checklist Bank Bank name Branch address Phone Checking # Savings # ATM card # Certificates of Deposit Bank name Branch address Phone Checking # Savings # ATM card # Certificates of Deposit Loans and Credit Mortgage holder Address Phone Account # Interest rate Second mortgage holder Address Phone Account # Interest rate Home equity loan holder Address Phone Account # Interest rate Car loan Address Phone Account # Interest rate Car loan Address Phone Account # Interest rate Miscellaneous loan Address Phone Account # Interest rate Credit card Billing address Phone Account # Interest rate Credit card Billing address Phone Account # Interest rate Credit card Billing address Phone Account # Interest rate John Hancock Funds, LLC, 601 Congress Street, Boston, MA , Member FINRA

5 911 Emergency Information IN CASE OF EMERGENCY: Dial 911 Emergency numbers Local police Local fire department Local hospital Family meeting place Household emergency Plumber _ Electrician Heating provider _ Telephone company _ Electric company _ Cable company Town Hall _ AAA/Towing Other Other Phone Phone Phone Phone Phone Phone Phone Phone Phone Phone Nearest neighbors Name Name Name Phone _ Phone _ Phone _ Government organizations SOCIAL SECURITY ADMINISTRATION IRS FEMA (Federal Emergency Management Association) FEMA (3362)