FAMILY SAFETY PLAN WORKSHEET

FAMILY SAFETY PLAN WORKSHEET

A comprehensive safety plan for your family. Designed by Legal Eye Investigations.
FAMILY INFORMATION
Primary Household Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian #1:

First NameLast Name
Parent/Guardian #2:

First NameLast Name
Parent/Guardian #1 Phone Number:
Please enter a valid phone number.
Parent/Guardian #2 Phone Number:
Please enter a valid phone number.
Parent/Guardian #1 Email:
example@example.com
Parent/Guardian #2 Email:
example@example.com
Emergency Contact Phone Number:
Please enter a valid phone number.
Emergency Contact Email:
example@example.com
CHILD/TEEN INFORMATION
Child/Teens Name:

First NameLast Name
Child/Teens Date of Birth:

MonthDayYear
Date
Height:
Weight:
Hair Color/Length:
Eye Color:
Race:
Identifying Marks:
Birth defects, scars, tattoos, etc.
School:
Grade:
Teacher/Counselor:
Child/Teens Phone Number:
Please enter a valid phone number.
Daily Routine:
School hours, activities, responsibilities
Child/Teens Friends*
SAFE ADULTS & BACKUP CONTACTS
Approved Adults Who Can Pick Up My Child:
Trusted Neighbors / Backup Safety Contacts:
COMMUNICATION & CHECK-IN PLAN
Daily Check-In Time After School/Work:
Daily Check-In Time Before Bed:
Weekend Check-In Plan:
Family Emergency Code Word:
RULES FOR USING THE FAMILY EMERGENCY CODE WORD
- Only parents/guardians may give the code word.
- If anyone else uses it, the child must call a parent immediately.
- Change it every 6–12 months or if the code word is compromised.
ONLINE SAFETY PLAN
Approved Apps/Websites:
List the website/apps (and emails and passwords associated with them)
Rules for Online Behavior:
- Never share address, school, or daily schedule.
- No meeting online friends without a parent present.
- Always tell a parent about threats, bullying, or strange messages.
- Location services ON only for family apps (Life360, Google Family Link, etc.).
HOME & PERSONAL SAFETY RULES

IF SOMEONE KNOCKS ON THE DOOR:

	CHECK OFF WHAT YOUR CHILD/TEEN SHOULD DO
Do NOT open the door
Look through windows/camers
Call a parent if unsure
Call a neighbor is unsure

IF THERE IS AN EMERGENCY:

	CHECK OFF WHAT YOUR CHILD/TEEN SHOULD DO
Call 911 immediately
Call a parent
Call a neighbor
Go to a trusted neighbors house

IF YOUR CHILD/TEEN FEELS UNSAFE:

	CHECK OFF WHAT YOUR CHILD/TEEN SHOULD DO
Leave immediately
Call/Text a parent
Call a neighbor
Go to a trusted neighbors house
Go to a public place or safe adult
Use the family code word if needed
Go to a teacher/counselor

TRANSPORTATION SAFETY
School Bus #:
If your child/teen rides a school bus, please write down the school bus number that is on the bus.
Carpool With:
Please provide the name of the adult and possible vehicle description as well.
Parent #1 Vehicle:
Please list the year, color, make, model, license plate
Parent #2 Vehicle:
Please list the year, color, make, model, license plate
Walking Routes: (you can draw or print a map if needed and attach to this document).
Describe regular routines if you walk to/from school, work, friends, neighbors, store, etc.
Forbidden Routes/Locations:
Describe places your child/teen should NOT be at, a certain friend, neighbor, family member, park, etc.
MISSING PERSON EMERGENCY STEPS

If a family member does not return on time:
- Try calling/texting immediately.
- Check Life360 / phone location.
- Contact friends or last known contacts.
- Search the immediate area/local cameras.
- Contact local police — NO waiting period in Maryland.
- Use the Family Code Word if receiving suspicious messages.
- Prepare photo + description for a Missing Person Flyer.
- Contact Legal Eye Investigations, LLC. for support.
IMPORTANT NUMBERS

IMPORTANT NUMBERS

	PHONE NUMBERS
Local Police (Non-Emergency):
School Office:
Doctor/Pediatrician:
Close Family or Neighbor:
Local Urgent Care:
Child/Teens Employer:
Local Hospital:

MISSING PERSON & CRISIS HOTLINES

National Center for Missing & Exploited Children (NCMEC):

1-800-THE-LOST

1-800-843-5678

National Runaway Safeline:

1-800-RUNAWAY

1-800-786-2929

988 SUICIDE & CRISIS LIFELINE

CALL OR TEXT 988

CRISIS TEXT LINE:

TEXT: HOME TO 741-741

TRANSPORTATION SAFETY

MTA Maryland (Transit Info):

410-539-5000

Amtrak Police:

1-800-331-0008

Metro Transit Police:

202-962-2121

WATERFRONT NATURAL RESOURCES

Maryland Natural Resources:

Police: 1-800-628-9944

(24/7 for missing persons near water, parks, trails).

LEGAL EYE INVESTIGATIONS, LLC.

PHONE: 410-921-5804

EMAIL: investigate@legaleyemd.com

WEBSITE: https://www.legaleyeinvestigations.com
Additional Information:
Should be Empty: