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Get the free Emergency Evacuation Referral Form for Students with a Disability - swarthmore

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This form is for students with disabilities to identify their needs for assistance during emergency evacuations at Swarthmore College, ensuring their safety and support in such situations.
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How to fill out emergency evacuation referral form

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How to fill out Emergency Evacuation Referral Form for Students with a Disability

01
Obtain the Emergency Evacuation Referral Form from your school or local education authority.
02
Read through the form carefully to understand the required information.
03
Fill in the student's personal details, including name, age, and contact information.
04
Provide details about the disability, including nature, severity, and any specific needs.
05
Indicate the student's usual support requirements during emergencies.
06
Include emergency contacts and any relevant medical information.
07
Review the completed form for accuracy before submission.
08
Submit the form to the designated school authority or emergency management coordinator.

Who needs Emergency Evacuation Referral Form for Students with a Disability?

01
Students with physical disabilities requiring assistance during evacuations.
02
Students with cognitive disabilities that may impede their ability to react in emergencies.
03
Students with sensory disabilities who need tailored evacuation strategies.
04
Any student with a medical condition that affects their mobility or emergency response.
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Persons with disabilities have four basic evacuation options: Horizontal evacuation: using building exits to the outside ground level or going into unaffected wings of multi-building complexes. Stairway evacuation: using steps to reach ground level exits from the building.
As the name suggests, a PEEP is an individualised plan of action in case of an emergency. It outlines how to provide the specific assistance required by each person with a disability in order to evacuate the premises in an emergency.
Keep an extra mobility device such as a cane or walker if you use one. Keep a portable air pump for wheelchair tires. If you use a seat cushion to protect your skin or maintain your balance and you must evacuate, consider keeping an extra cushion on hand.
Persons with disabilities have four basic evacuation options: Horizontal evacuation: using building exits to the outside ground level or going into unaffected wings of multi-building complexes. Stairway evacuation: using steps to reach ground level exits from the building.
Keep an extra mobility device such as a cane or walker if you use one. Keep a portable air pump for wheelchair tires. If you use a seat cushion to protect your skin or maintain your balance and you must evacuate, consider keeping an extra cushion on hand.
The main contents of a PEEP include: How the person will reach a place of safety in an emergency. Whether the person understands the evacuation instructions. Any special equipment or procedures the person needs to help them escape. Whether the person is able to evacuate unaided or if they need assistance.
If you or your loved ones elect to sign up for the Emergency Evacuation Assistance Registry, the City will have a record of your specific evacuation assistance needs. City staff will be better prepared for disasters and will work to establish plans to assist you in your evacuation or disaster management.
As the name suggests, a PEEP is an individualised plan of action in case of an emergency. It outlines how to provide the specific assistance required by each person with a disability in order to evacuate the premises in an emergency.

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The Emergency Evacuation Referral Form for Students with a Disability is a document used to collect necessary information about students with disabilities to ensure their safety during emergency evacuations.
The form is typically required to be filed by teachers, administrators, or guardians of students with disabilities who may need special assistance during an emergency evacuation.
To fill out the form, individuals must provide detailed information about the student's disability, potential evacuation needs, and any specific assistance required during emergencies.
The purpose of the form is to ensure that appropriate plans are in place for safely evacuating students with disabilities in case of an emergency, thereby enhancing their safety and preparedness.
The form must report information such as the student's name, type of disability, specific evacuation needs, contact information for guardians, and any additional relevant medical information.
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