Stay or Go Readiness Kit

I am registered with the following Delaware Emergency Alert Programs/Registries:
Delaware Emergency Registry/Alert Program Yes/No Registration Dates
Delaware Emergency Notification System (DENS): https://alertregistration.com/dema/    
Special Needs Alert Program (SNAP) for children: http://dhss.delaware.gov/dph/ems/emscsnap.html    
Emergency Preparedness Voluntary Registry for citizens who have special needs: http://www.de911assist.delaware.gov/    
My Sources of Communication: Emergency Radio and Television Sources (include frequency)
Local Radio Station  
Local Television Station  
NOAA Radio  
My Sources of Personal Support During Emergencies
I will receive phone calls from:  
I will receive mobile phone or text messages from:  
I will receive Email or Internet-based messages from:  
I will receive information from other sources based on my needs from:  
I will be visited personally by:  
I am a Source of Personal Support During Emergencies
I will make phone calls to:  
I will make mobile phone or send text messages to:  
I will send Email or Internet-based messages to:  
I will give information from other sources based on my needs from:  
I will visit personally:  
My Shelter-At-Home Kit contains:
Check Date Added Kit Item
  Copy of My Emergency Readiness Plan
  Copies of important documents
  Cash and Credit Cards (cash is better)
  Water (one gallon per day per person and per pet)
  Food for you, family and pet for 5 days
  Manual can opener and cooking supplies
  First Aid Kit and instructions
  Warm Clothes and Rain Gear
  Soap, hand sanitizer, bleach, toilet paper, personal hygiene supplies
  Plastic sheets, duct tape, utility knife (to cover broken windows)
  Blanket or sleeping bag
  Large heavy duty bags and plastic bucket for waste and sanitation
  Tools - Crowbar, hammer and nails, staple gun
  Heavy duty leather work gloves
  Pet food and supplies (if applicable)
  Batteries, flashlight(s), lantern
  Extra battery for cell phone
  Adapters to charge batteries in the car
  Battery-operated or hand cranked weather radio
My Shelter-At-Home Kit contains items for my specific needs:
Check Date Added Kit item for My Needs
   
   
   
My Go-Bag contains the following basic items:
Check Date Added Go-Bag Item
  Copy of “My Emergency Readiness Plan”
  Copies of important documents
  Cash and credit cards (cash is better)
  Water (one gallon per person and per pet per day)
  Food for you, family and pet for 5 days
  Manual can opener and cooking supplies
  Flashlight or lantern and extra batteries
  Battery-powered or hand-cranked weather radio and extra batteries
  Whistle
  Dust mask
  Pocket knife
  Sturdy shoes, a change of clothes, warm hat
  Maps
  Photos of family members and pets (re-identification purposes)
  Prescription medications and first aid supplies
  Toothbrush and toothpaste, hand sanitizer, toilet paper, feminine hygiene products
  Duct tape
  Heavy duty leather work gloves
  Extra batteries for cell phone
  Adapters to charge batteries in the car
  Disposable rubber gloves (TIP 5)
  Baby necessities (if applicable) like food, formula, diapers, and wipes
  Documentation of shots for your pet(s)
My Go-Bag also contains items for my specific needs:
Check Date Added Go-Bag Item
   
   
   
My List of Doctors:
Name of Doctor Specialty Phone Number
     
     
     
     
     
Other Important Health-Related Contacts:
Provider Type Provider Name Phone Number
Pharmacy    
Other Pharmacy    
Personal Assistant/Home Care Provider    
Medical Equipment Co.    
Other:    
My Medications include:
Medication Name Prescription #, Dosage, Purpose, and Storage Issues
   
   
   
   
   

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