* I will have important phone numbers available to my children and myself.
* I can tell these two people about the violence and ask them to call the police if they hear suspicious noises coming from my home:
______ and ______
* When I expect my partner and I are going to argue, I will try to move to a space that is lowest risk, such as:
_______________.
* If I leave my home, I can go (list four places):
_______________
_______________
_______________
or _____________.
* I can leave extra money, car keys, clothes, and copies of documents with:
_______________. *
* To ensure safety and independence, I can: Open my own savings account; rehearse my escape route with a support person; and review safety plan on: ___________(date).
Suggestions for increasing safety – when the relationship is over
* I can: change the locks; install steel/metal doors, install a security system, install smoke detectors and an outside lighting system.
* I will inform at least two people that my partner no longer lives with me and ask them to call the police if s/he is observed near my home or my children. They are:
_______ and _______.
* I will tell people who take care of my children the names of those who have permission to pick them up. The people who have permission are:
_____________
_____________
_____________.
* I can tell one person at work about my situation:
____________
* I can avoid stores, banks, and other places that I used when living with my abusive partner.
* I can obtain a protective order. I can keep it on or near me at all times as well as leave a copy with:
___________
* If I feel down and ready to return to a potentially abusive situation, I can call someone for support or attend workshops and support groups to gain support and strengthen my relationships with other people. I can call:
___________
Important phone numbers:
Police ______________
Friends _____________
Hotline _____________
Family _____________
Shelter _____________