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Waukesha CountyPersonal Emergency Planning Form Employee Identification and Contact Information Employee Name (Last, First, MI)Division/Job TitleEmail AddressWork Phonetician Media Contact Information
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How to fill out personal emergency planning form

01
Step 1: Gather important personal information such as name, address, phone number, and email address.
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Step 2: Identify your emergency contacts and provide their names, relationships, and contact information.
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Step 3: List any medical conditions or allergies you have, as well as medications you are currently taking.
04
Step 4: Include details about your health insurance, such as the policy number and contact information.
05
Step 5: Document any special needs or accommodations you require during an emergency.
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Step 6: Make a list of essential documents, such as identification cards, passports, and social security cards.
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Step 7: Prepare a list of important phone numbers for emergency services, doctors, and insurance providers.
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Step 8: Include information about your pets, including their names, species, and any specific care instructions.
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Step 9: Ensure that the form is easily accessible, either by keeping a physical copy or storing it electronically.
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Step 10: Regularly review and update your personal emergency planning form to keep it accurate and up-to-date.

Who needs personal emergency planning form?

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Anyone can benefit from having a personal emergency planning form.
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It is especially important for individuals with medical conditions, allergies, or special needs.
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Families with children or elderly members should also consider creating a personal emergency plan.
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Additionally, frequent travelers or individuals living in areas prone to natural disasters may find it useful.
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It is a document that individuals use to plan for emergencies ahead of time.
All individuals are encouraged to fill out a personal emergency planning form.
You can fill out the form by providing information about your emergency contacts, medical history, and any necessary medications.
The purpose of the form is to ensure that individuals are prepared for emergencies and that emergency responders have necessary information.
Information such as emergency contacts, medical history, allergies, and medications should be reported on the form.
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