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Domestic Violence Safety Plan Worksheet (PDF) A domestic violence safety plan is a way of helping yourself and your children in a crisis situation. You can plan for the future in advance for any kind
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How to fill out domestic violence safety plan

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How to fill out domestic violence safety plan

01
Assess the risks involved in your specific situation.
02
Identify safe places where you can go in case of emergency.
03
Create a list of emergency contacts including police, family members, friends, and shelters.
04
Develop a code word or signal to alert others that you are in danger.
05
Pack a bag with essential items such as important documents, medications, money, and clothing, and keep it in a safe place.
06
Create a plan for children and pets to ensure their safety.
07
Document incidents of abuse including dates, times, and descriptions.
08
Practice your safety plan regularly to ensure you are prepared in case of emergency.

Who needs domestic violence safety plan?

01
Anyone who is experiencing or at risk of experiencing domestic violence should have a safety plan in place.
02
This includes individuals in abusive relationships, victims of domestic violence, and those who fear for their safety.
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A domestic violence safety plan is a personalized, written plan developed by individuals experiencing domestic violence to ensure their safety and the safety of their loved ones. It typically includes strategies for escaping potential abusive situations, emergency contacts, safe housing options, and resources for legal and medical support.
Individuals who are experiencing domestic violence or believe they may become victims of domestic violence are encouraged to create and file a domestic violence safety plan. This may also include service providers who are safeguarding individuals in their care.
To fill out a domestic violence safety plan, identify specific safety strategies, emergency contacts, important documents to grab, a planned safe location, and legal resources. Ensuring that all information is kept confidential and accessible only to trusted individuals is critical.
The purpose of a domestic violence safety plan is to provide individuals with practical steps to enhance their safety when faced with potential domestic violence situations. It empowers them by offering guidance on how to respond and where to go for help.
A domestic violence safety plan should include personal identification information, contact details for trusted friends or family, local resources such as shelters or hotlines, steps for leaving safely, and any necessary medical or legal information.
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