La Madera · District 4 · Station 49

Your Household Evacuation Plan

Make a practical plan for the people and animals who depend on you. Fill in the sections, review your plan, then print it or save a PDF using your browser.

Back to Resident Resources

If an evacuation is underway, follow current instructions from public safety officials.

Do not wait to complete this tool. Leave early if you feel threatened. A route or destination you write here may be unavailable during an incident. Never drive through fire, flooded roads, or a road closure.

This is a planning worksheet, not a request for evacuation assistance or a route recommendation. Talk through your arrangements with the people involved.

Your information: The builder has no submit function. Entries remain in the open page unless you choose Save on This Device. That option stores a copy in this browser, where others using this browser may be able to see it. Do not enter gate codes, financial details, or detailed medical records. Printed and downloaded copies contain the information you enter.

Your Household

Example: Our household evacuation plan

Use your physical address, including unit if applicable.

Who checks on whom? Include a backup person.

Where You Will Go

Name, address, and how you will contact one another.

Confirm arrangements with your host. Shelter locations may change by incident.

List available ways out and a backup, if one exists. These are planning notes, not approved evacuation routes.

How You Will Leave

Include who needs a ride and who will provide it. Arrange help before an emergency.

Plan for mobility, communication, medications, equipment, and backup power. Keep detailed medical records on your separate medical information sheet.

Carriers, leashes, trailers, drivers, supplies, and a destination that accepts your animals.

How You Will Stay Connected

Name and phone number everyone can use to check in.

Name and phone number. Confirm they have agreed to help.

Who checks SCAN and official updates? What is your backup if phone service is limited?

What You Will Take

Locations of medications, identification, documents, chargers, keys, water, clothing, and animal supplies.

Choose a review date. Note arrangements you still need to confirm.

Enable JavaScript to generate your plan.

Guidance: New Mexico DHSEM, Sandoval County SCAN, FEMA preparedness guide.