| Red Cross Safe & Well Registry Information Sheet | |
| Last Name: :lname: |
First Name: :fname: |
| Pre-disaster phone #'s; [:nophone:] no phone number recorded |
:area1: - :xchg1: - :suffix1: |
| :area2: - :xchg2: - :suffix2: | :area3: - :xchg3: - :suffix3: |
| Pre-disaster home address :pdline1: :pdline2: :pdcity:, :pdst: :pdzip: |
Current home address :haline1: :haline2: :hacity:, :hast: :hazip: |
| Safe and Well Messages |
|
| [:m1:] I am safe and well. |
[:m8] Will email when able. |
| [:m2:] Family and I are safe and well. |
[:m9:] Will mail letter / postcard when able. |
| [:m3:] Currently at shelter. |
[:m10:] I am safe and in the process of evacuating. |
| [:m4:] Currently at home. |
[:m11:] I have evacuated and I am safe. |
| [:m5:] Currently at friend / family / neighbor's. |
[:m12:] I am evacuating to a shelter. |
| [:m6:] I am evacuating to the house of a family member / friend. |
[:m13:] I am currently at a hotel |
| [:m7:] Will make phone call when able. |
[:m14:] I am currently remain at home |
| [:m15] Custom message :cmsg: |
|