Evacuation Planning Form for Family Child Care Emergency Disaster 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your Child Care Provider or Program Name, CLR Number, and Date at the top of the form.
3. In the 'Shelter In Place' section, specify the designated safe place within your home.
4. For 'On-Site Safe Evacuation Location', provide details about where children will be evacuated on-site.
5. Fill in the 'Off Site Evacuation Location' with the name, address, and contact information of the designated off-site location.
6. Complete the Emergency Contact Information section with names and phone numbers of key contacts in case of an emergency.
7. Review and check off items in the Evacuation Plan Checklist to ensure all necessary preparations are made.
8. Finally, sign and date at the bottom of the form to confirm that you have reviewed and understood all procedures outlined.

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