Family plan handout
A printable from Preparedness Workshop. Fill it in by hand. Nothing you write is collected by this website.
Family plan handout
My family plan
- My caregiver: ____________ Phone: ____________
- My backup caregiver: ____________ Phone: ____________
- Caregiver's Authorization Affidavit filled out and signed: [ ] yes
- School and child care emergency contacts updated: [ ] yes
- Family folder made, with copies of birth certificates, passports, medical information and school contacts: [ ] yes
- Talked with my children about the plan: [ ] yes
Save these numbers
- San Mateo County residents, Rapid Response Hotline: (203) 666-4472, 24/7
- Santa Clara County residents, Rapid Response Network: (408) 290-1144, 24/7
- Community Legal Services in East Palo Alto (San Mateo and Santa Clara County residents): (650) 326-6440
- Free help finding services: dial 211
Remember
- Only a lawyer or a DOJ accredited representative can give you legal advice. A notario cannot.
- Immigration forms are free on uscis.gov. Never pay for a blank form.
- Do not write your Social Security number or A number on this sheet.
More at donotlosehope.com
From Preparedness Workshop. Facts checked October 21, 2026. Free information, not legal or medical advice.