My safety and papers checklist
A printable from Survivor Safety Complete Guide. Fill it in by hand. Nothing you write is collected by this website.
My safety and papers checklist
If I need help fast
- I will call 911 if I am in danger.
- A person I trust: ____________________
- Our code word for "call for help": ____________________
- A safe place I can go: ____________________
- My local 24 hour line: CORA 800-300-1080 / Next Door 408-279-2962 / YWCA 800-572-2782
Papers to keep ready or leave with someone I trust
- ID, passport and any immigration papers, with my A number if I have one
- Birth certificates for me and my children
- Medicine and prescriptions
- Money, keys, phone charger
- Copies of any restraining order or police report, with case numbers
Proof of what happened (keep copies away from home)
- Photos of injuries or damage
- Texts, emails, voicemails
- Medical records or counselor letters
- Names of people who saw what happened
Steps I want to take
- Make a safety plan with an advocate
- Ask for a restraining order
- Change locks, or end my lease
- Separate my phone line
- Ask about Safe at Home
- Apply to CalVCB (deadline: ____________________)
- Talk to a survivor immigration lawyer
- Tell my employer what I need for safety
From Survivor Safety Complete Guide. Facts checked October 21, 2026. Free information, not legal or medical advice.