Appendix F - bushfire attack level assessment report · MCU25/0022

                           BUSHFIRE SURVIVAL PLAN
Complete your personalised Bushfire Survival Plan lift-out.


Personal details:
Important phone numbers: 000 (Fire, Police and Ambulance)

Family:                              Family:                                      Family:

Work:                                Friends:                                     Friends:

School:




Important contact details – name and phone number:
Insurer:                             Policy Number:                               Phone:

Electricity: 		                                                                   Phone:

Water: 		                                                                         Phone:

Gas: 		                                                                           Phone:

Phone Company: 		                                                                 Phone:

Council:                             Phone:




Leave early:
List all names and contact phone numbers of household members who have decided to leave early then complete
Section 1.

Names:



Phone:




Stay:
List all names and contact phone numbers of household members who have decided to stay, then complete Section 2.

Names:



Phone:




10                                                                                    PREPARE ACT SURVIVE
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