WHAT S INSIDE? A NOTE FROM OUR CEO:

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1 A NOTE FROM OUR CEO: Frm the start, the Fundatin s missin has been grunded in the understanding that impacts f disaster can best be mitigated by strengthening cmmunities fr the lng term. By increasing access t infrmatin and pprtunity, Fundatin fr Luisiana cntinues the wrk f its predecessr, the Luisiana Disaster Recvery Fundatin, helping thse mst in need achieve ecnmic stability, advcate fr their cmmunity s interests, and acquire the knwledge necessary t prtect their families and assets. This year, Fundatin fr Luisiana s Disaster Preparedness Summits served residents and small businesses in greater numbers and in mre lcatins than ever befre the peple f Luisiana are eager fr pprtunities t be practive abut preparedness! We are glad t be able t carry n this wrk with ur partners here tday, and we are cmmitted t cntinuing t build cmmunity resilience in partnership with grassrts leaders and the lcal nnprfit sectr. Thank yu fr yur participatin and supprt. WHAT S INSIDE? In the pages ahead, yu will find 3 disaster preparedness checklists: ü HOME INVENTORY CHECKLIST ü EMERGENCY DOCUMENTS AND SUPPLIES ü EMERGENCY MEDICAL INFORMATION Fundatin fr Luisiana has prepared these lists as a resurce t guide yu and yur family as yu inventry belngings, prepare yur disaster kit, and dcument medical histry and needs. GET IN TOUCH! Fundatin fr Luisiana always welcmes yur feedback. If yu have questins, cmments r phts yu d like t share FIND & FRIEND us n Facebk! Search Fundatin fr Luisiana. CALL us at 225/ Flzell Daniels, Jr. President & CEO E- MAIL us at inf@fundatinfrluisiana.rg We d lve t hear frm yu!

2 HOME INVENTORY CHECKLIST Den & Living Area Dining Area Item Purchase Date Price Item Purchase Date Price Sfas Dining Table Chairs Chairs Carpet & Rugs Light Fixtures Cffee & End Tables Carpet/ Rugs Lamps China Artwrk Silverware Wall Décr Wall Décr Televisin Flr Décr DVD Player Table Clths and Linens CDs/ DVDs Dishes and Utensils Camera/ ther A/V equip. Other: Bkcase & Bks Plants/ Stands/ Pts Telephnes Hme Security Equipment Cmputer Curtains/ Shades Other:

3 Kitchen & Utility Bedrms Item Purchase Date Price Item Purchase Date Price Cabinets Beds Stve Dresser & Mirrr Refrigeratr Armire/ Wardrbe Garbage Dispsal Nightstands Trash Cmpactr Mattresses Micrwave Linens and Pillws Washer Lamps & Light Fixtures Dryer Wall Décr Tables Carpet/ Rugs Chairs Curtains/ Shades Curtains/ Shades Bkcases/ Bks Light Fixtures Desk Dishes Cmputer Cking Utensils Televisin Glasses DVD player Cutlery Telephne Bwls and Servers Radi Strage Jewelry Pts & Pans Clthing & Shes Small Appliances Tys & Games Fd (pantry, cld, and frzen) Other: Other:

4 Bathrm Item Décr Lights & Fixtures Twels & Linens Shwer Curtains/ Tub Mats Rugs/ Flr Mats Small Appliances Tiletries Hampers Other: Purchase Date Garage & Strage Price Item Dining Table Chairs Light Fixtures Carpet/ Rugs China Silverware Wall Décr Flr Décr Table Clths and Linens Dishes and Utensils Other: Pati Item Outdr Furniture Hme Security Equipment Grills, Fryers Swing Sets, Tys, Tramplines Other: Purchase Date Purchase Date Price IMPORTANT: Price Make sure yu have cpies f purchase receipts, warranties and insurance plicies. Verify yur insurance cverage and make sure it is up- t- date and prvides adequate cverage. Make sure yu have accunt numbers if yu are still paying n items. Vide r phtgraph all husehld cntents and utdr items f value.

5 EMERGENCY DOCUMENTS & PREPAREDNESS ITEMS DOCUMENTS Emergency Plan & Cntact List Maps f Evacuatin Rutes & Meeting pints Persnal Identificatin Drivers License State I.D. Schl/ Cllege I.D. Credit Cards Bank Cards & Travelers Checks Petty Cash COPIES Birth Certificate Marriage License Scial Security Cards Passprts Wills Deeds Bank/ Credit Accunt numbers Stck and Bnd Certificates COPIES, cnt. Husehld inventry list Dcumentatin f Insurance, including plicy numbers Reprt Cards High Schl and Cllege Diplmas Immunizatin Recrds CLOTHES & LINENS Scks Underwear Outfits Shes Glves Pajamas Rain Gear Hats

6 CLOTHES & LINENS, cnt. Sleeping Bags Blankets Pillws Sheets FOOD 1 Galln f Water per Persn per Day fr at least 3 days Cereal Sup (ready t eat) Canned Fruits and Vegetables Canned Meat Ckies/ Crackers/ Chips Bttled Juice Instant Cffee Energy Bars/ Trail Mix Peanut Butter Granla Bars SPECIAL FOODS Baby frmula Baby fd Diabetic fd Gluten- free Vegetarian HOUSEHOLD ITEMS Paper twels & Napkins Tilet paper Disinfectant Re- sealable plastic bags Heavy Duty garbage bags Bleach Can Opener Paper Cups & Plates, Plastic utensils Aluminum Fil Matches Candles

7 PERSONAL ITEMS Wash Clth & Twel Hand Sanitizer Wet Wipes Tthbrush, Paste, Muthwash & Dentures Brush/ Cmb Shamp, Cnditiner & Sap Shaving cream & razr Chapstick/ Lip Balm Sunscreen & Insect Repellent Feminine Hygiene Prducts Sunglasses & Eyeglasses MEDICINE CABINET ITEMS First Aid Kit & Manual Sterile Gauze & Adhesive Bandages Hypallergenic Tape Rubbing Alchl & Idine Dispsable wipes Nn- latex Glves Anti- bacterial Ointment MEDICINE CABINET ITEMS, cnt. Cld Packs Scissrs & Tweezers Thermmeter Petrleum Jelly/ Lubricant Cttn Balls & Cttn Swabs Safety Pins & Sewing Kit Liquid Hand Sap Medicine Drpper Aspirin and Acetaminphen Antacid, Laxative & Anti- diarrheal Syrup f Ipecac & Activated Charcal Insulin, syringes & needles Prescriptin Medicatins TOOLS, GEAR & APPLIANCES Battery- pwered radi r televisin Battery- pwered phne charger NOAA Weather Radi Flashlight/ Lantern Waterprf Matches Signal Flare Duct Tape

8 TOOLS, GEAR & APPLIANCES, cnt. Plastic Sheeting/ Tarp Whistle Wrench, Pliers, Scissrs Shvel Fire Extinguisher Cmpass Wrk Glves Tube Tent Battery- pwered Alarm Clck Strage Cntainers Rpe Permanent Markers Pens, Pencils, Paper

9 EMERGENCY MEDICAL INFORMATION Persnal Infrmatin Name: D.O.B. / / SS#: Sex: M F Address: City: State: Zip: Phne: ( ) Mbile: ( ) SS# e- mail: Emergency Cntacts: (lcal) Name Phne: ( (ut- f- state) Name Phne: ( ) Mbile: ( ) ) Mbile: ( ) Medical Histry Bld Type: Allergies: Medical Cnditins: Surgeries: Identifying Characteristics (birth marks, tatts, scars, etc.): Cntacts? YES r NO Eyeglasses? YES r NO Dentures? YES r NO

10 Medicatin/ Milligrams Dsage Illness/ Cnditin Prescribing Physician PHYSICANS Family: Phne: Clinic/ Hspital: Specialist: Phne: Clinic/ Hspital: Pharmacist: Phne: Lcatin: Dentist: Phne: Office: Insurance: Phne: Plicy #:

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