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Lanita A. Lloyd |
Cobb Emergency Management Agency (EMA) Preparedness Out-of-State Contact Name:_________________________________________________________________ Address:_______________________________________________________________ Telephone (Day):_____________________________ (Evening):___________________ Local Contact Name:_________________________________________________________________ Address:_______________________________________________________________ Telephone (Day):_____________________________ (Evening):___________________ Nearest Relative Name:_________________________________________________________________ Address:_______________________________________________________________ Telephone (Day):_____________________________ (Evening):___________________ Family Work Numbers Father:________________________________ Mother:__________________________ Other:_________________________________ Emergency Numbers (in a life-threatening emergency, dial 911) Police:________________________________ Fire:_____________________________ Hospital:______________________________ Family Physicians Name:___________________________________ Telephone:_____________________ Name:___________________________________ Telephone:_____________________ Name:___________________________________ Telephone:_____________________ Reunion Locations Right outside home: _______________________________________________________ Away from neighborhood, in case you cannot return: ____________________________________________________________________ Address:________________________________ Telephone:_______________________ Route to try first: _________________________________________________________ ____________________________________________________________________ Keep this contact list and emergency guide near the phone where it can be easily located. << Back |