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Caregiver emergency planning checklist

Use this checklist as you create your emergency plan.

Summary

This checklist can help you work with your caregiver as you create an emergency plan. The checklist includes items intended to make sure that everyone who helps you has the same preparedness information. 

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The documents in this list may not work with all assistive technology and are being remediated. For alternative formats, please email General Contact or phone 415-473-6717. To use the California relay service, dial 711.

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Page updated October 8, 2025