This customizable safety plan will allow you to plan ahead, and save important information for before and after you leave.
This tool will email the completed plan to you, so you can keep it safe and outside of your partner’s reach. Please create a new email address through any provider, such as gmail, and use that in the email field.
This form is completely anonymous. We do not retain any information that you put into it. That also means that the data cannot be recovered if lost, so please safeguard it carefully.