Safety Plans
SAFETY PLAN

Fill this out and keep it in a SAFE place

Safety during a violent incident can be increased by
doing the following:

If violence occurs or I am afraid violence will reoccur, I
can enhance my safety by doing some of the following:

  • When I have to communicate with my partner/abuser, in
    person or by telephone and he becomes abusive, I can

                                                                  

  • When I have contact with my abuser at my home or at work
    and I expect we are going to have an argument, I will try to
    move to space that is lowest risk such as

                                                                  
(Try to avoid arguments in the bathroom, kitchen, garage, near
weapons or in rooms without access to an outside door.)
  • I will use my judgement and intuition. I have to protect
    myself until I/we are out of danger. If the situation is very
    dangerous, I can:

                                                                  
  • I can tell the following people about the past violence and
    request they call the police if they hear suspicious noises
    coming from my home.
  1.                                            Phone#                                            
  2.                                            Phone#                                            
  3.                                            Phone#                                            

  • I will use                                                as my code word with
    my children/family/friends/co-workers so they can call for
    help.


SAFETY PLAN TO LEAVE MY ABUSER

  • If I have to leave my home or job, I will go                               
  • I can leave copies of important documents, an extra set of
    car and/or house keys, money and extra clothes
    with                                                                                  
  • I will have important phone numbers accessible to my
    children and myself. The phone located nearest to my home
    is                                                                                      
  • I will check with the following people who would be able to
    let me stay with them:
  1.                                               Phone#                                            
  2.                                               Phone#                                            
  3.                                               Phone#                                            

  • I can seek help by calling 911 or my local domestic violence
    shelter. The number is 561-841-7580
  • When I leave. I will need to take:
  1. Identification for myself (Driver's License or ID)
  2. Social Security card for all family members
  3. Birth certificates for all family members.
  4. School and vaccination records for all children.
  5. Health Insurance cards for all family members.
  6. Medication for all family members.
  7. Divorce/custody papers
  8. Work permits/green card/passport
  9. Money/check book/ATM-Credit Cards/bank book
  10. Children's favorite toy or blanket
  11. Items of special sentimental value
  12. Medical records
  13. Lease/rental agreement/mortgage payment book
  14. House and/or car keys

THE MOST IMPORTANT THING IS TO BE SAFE!!!!


SAFETY PLANNING AT WORK

It is important for survivors of domestic violence to be
alert and prepared for possible contacts by the abuser
during a work day. A safety plan for work may help if
the abuser calls or shows up. Which of these can you
use?


  • Tell co-workers or boss about situation        Yes        No      
  • Furnish security or receptionist with photograph of abuser
    Yes        No         
  • Ask the person(s) to call the police in an Emergency.   
    Yes          No        
  • Have a back-up person if the first one is not at work or
    nearby.          Yes          No        
  • Ask someone to screen your calls.      Yes        No       
  • Ask someone to watch out for you.     Yes        No       
  • Plan your entry and exit each day.      Yes        No       
  • Keep a copy of your injunction at work   Yes      No      
  • Let others know about the injunction   Yes       No      
  • Request office or desk to be placed in a safe location.
    Yes          No         
  • Request help from employee assistance program. Yes    No     
  • Plan an escape route.                             Yes       No        
  • Have a signal for help (whistle/alarm/code word). Yes   No   
  • Drive a different way to and from work each day. Yes    No    
  • Find a safe room to use in an emergency.    Yes      No      
  • Be sure it locks, has a telephone and a window or second
    door.    Yes      No      
  • Locate a parking space close to the door and in a well-lighted
    place.   Yes      No      
  • If possible, get dropped off and picked up, trade cars with
    someone or car pool.    Yes        No       

Remember, your safety and the safety of your co-
workers is the most important issue!!!

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