Your Personal Safety Plan
This section will help you plan for your safety. If you don’t have some of this information, now is the time to get it. IMPORTANT! KEEP THIS INFORMATION IN A SAFE AND PRIVATE PLACE WHERE YOUR BATTERER CANNOT FIND IT!
1. Important phone numbers:
Police: 911 or
Domestic Violence Hot Line: 1-800-799-7233 or 1-800-787-3224 (TTY) http://www.ndvh.org
My attorney:
Other:
2. I can call these friends or relatives in an emergency:
Name:
Phone:
Name:
Phone:
3. These neighbors will call the police if they hear me being battered:
Name:
Phone:
Name:
Phone:
4. I can go to these places if I have to leave my home in a hurry:
Name:
Phone:
Address:
Name:
Phone:
Address:
5. I have given copies of the documents checked below to a friend for safekeeping:
[__] My birth certificate
[__] My children’s birth certificates
[__] My social security card
[__] My children’s school records
[__] My children’s medical records
[__] Bank books
[__] Welfare identification
[__] My passport or green card
[__] My children’s passports or green cards
[__] Insurance papers
[__] My lease agreement or mortgage payment book
[__] Important addresses and telephone numbers
[__] Other:
[__] Other:
[__] Other:
6. The following are hidden in a safe place:
[__] An extra set of car keys
[__] Some extra money
[__] An extra change of clothes for me and my children
[__] Other:
[__] Other:
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