Safety Planning Checklist
Use this list as a starting point for your safety plan. Each situation is highly individualized. Please call our crisis line at 503-235-5333/888-235-5333 to talk over your safety plan with a Crisis Line Specialist.
Identification
o Driver’s License or Identification Card
o Birth Certificate
o Children’s Birth Certificates
o Passport (s)
o Social Security Cards
Financial
o Money and/or credit cards (in your name)
o Checking and/or savings account books
o Cash if possible
o Safety deposit box keys
Legal Papers
o Protective Order
o Lease, rental agreement and/or house deed
o Car registration, title and insurance papers
o Health and life insurance papers
o Medical records for you and your children
o School records
o Work permits/Green Card/Visa
o Divorce and custody papers
o Marriage/Divorce license
Other
o Medications
o House and car keys
o Post office key
o Valuable jewelry, pictures and sentimental items
o Address books
o Pictures and sentimental items
o Extra clothes for you and your children
o Diapers for infants
o Toiletries
o Snacks
Emergency Numbers
o Police Emergency: 911
o Portland Non-Emergency Police: 503-823-3333
o Portland Women’s Crisis Line: 503-235-5333/888-235-5333
o National Domestic Violence Hotline: 800-799-7233
Additional Items
o _________________________
o _________________________
o _________________________
o _________________________
o _________________________
o _________________________
o _________________________

