Follow the steps to complete the form effectively.

1. Click ‘Get Form’ button to acquire the form and access it in the online editor.
2. Begin by filling in the 'Child Care Provider or Program Name' and the 'Completion Date'. Make sure these fields are accurately completed as they identify your program.
3. Fill in the 'City, State, Zip Code' and 'Telephone Number' of your child care facility. It's crucial to provide precise contact details to ensure stakeholders can reach you.
4. Indicate the 'Number of children enrolled' and 'Number of staff' working at your facility. This information helps in assessing the capacity and resources needed in emergencies.
5. In the section for 'Sheltering in Safe Place', specify the designated safe shelter for your location. This ensures children's safety during disasters.
6. Detail the 'On-Site Safe Evacuate Location' and two 'Off-Site Safe Evacuation Locations', including names, addresses, and phone numbers. Attach a map if necessary for clear direction.
7. Complete the contact information section for the primary emergency/disaster contact person, ensuring to include alternative contacts, if possible.
8. Identify roles within your child care facility responsible for specific emergency actions, including 'Evacuation Manager', 'First Aid/CPR Staff', and 'Communication System'.
9. Review communication plans for staff, children, and families regarding the emergency/disaster procedures, ensuring clarity in how information will be shared.
10. Once all fields have been filled accurately, save your changes. You can download, print, or share the completed form with local emergency management officials and parents.

Complete your document online to ensure your child care facility is prepared for emergencies.