Your Safety Plan

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.

When I'm Still in the Home

When I'm still in the home, I understand that I have to be very aware of my surroundings to avoid danger as much as possible. I will take every precaution to make sure my partner doesn't know about my plans to leave.

1. I can pack a "go bag" with enough clothes for a few days, plus important documents and supplies. I will not keep this bag where the abuser can find it, such as my closet or a mutual friends house. I will put it somewhere safe, such as work or with a trusted friend or relative.

2. I will keep my purse and car keys in the same place, so I know where to find them if I need to leave quickly.

3. When I decide to leave, I will take a safe route out of the house. These are the safe exits out of the home:

4. I can use a code word with my children; when they hear it, they'll know to get to safety and call for help if possible. This is the code word I'll use:

5. I can use a code word with my support system, which will let them know I'm in danger and they need to get help. This is the code word I'll use:

6. If I'm in danger while in the home, I'll try to get to a place that is low risk (and try to avoid high risk areas like the bathroom, garage, kitchen, near weapons, or rooms without a clear escape route. In my home, these areas are lower risk:

7. I understand that my phone records and browsing history may reveal my intentions to leave. I will follow the "safe browsing" advice from GoAskRose.com

8. I will use my intuition and judgement. If the situation is serious, I can give my partner what they want to calm them down. I need to protect myself and my children until we can leave.

Leaving

Leaving an abusive situation must include very careful planning to make sure that my safety, as well as mu children's safety, is ensured.

1. I understand that it is important to hide my plans to leave. If I forget any of the safety tips, I can visit GoAskRose.com to remind myself.

2. I can leave money and supplies with . If I run out, I can borrow money from .

3. I can open a savings account at a different bank that my partner doesn't use. This bank should have a branch at my final destination as well. I will use this bank:
.

4. I understand that my phone may be used to track my location, and I should not use it at my locations or on the route to them. As soon as I can, I will remove the battery until I can get help from a trained expert (such as the provider). In the meantime, I can use a prepaid cell phone available from any large store. The following places near me carry these phones:
.

5. Some safe places to stay for the first night or a short period of time are and .

6. I will rehearse my escape plan as often as possible, and practice it with my children.

Once I'm Somewhere Safe

1. I will not take any actions that may reveal my location. I should avoid using social media as much as possible, since posts and images may give that away. I will only tell those that absolutely need to know that I've made it away safely.

2. I will do as many of these things as I can:
- Change the locks on my doors and windows (or, if renting, make sure the landlord does this)
- Replace wooden doors with steel/metal ones
- Install a secure system, additional locks, window bars, wedge poles for doors, etc
- Purchase rope or chain ladders to escape from second floor windows
- Install and test smoke detectors and fire extinguishers
- Install motion-sensitive lighting outside

3. I will tell the people that take care of my children who can and who cannot pick up my children. This includes their school, babysitters, teachers, church groups, and anyone else relevant.

4. I will teach my children a safe codeword in the event that a message has to be relayed to them, so they know it's coming from me. That codeword will be changed every time it's used. The codeword is:
.

5. I can inform trusted neighbors that my partner does not reside with me, and they should call the police if they or their vehicle is observed. This is the make, model, and license plate number of my partner's vehicle(s):
.

6. I will change my normal routine, shop and different stores, and go to locations other than those that my partner knows.

Orders of Protection

An order of protection may keep the abuser away from you, but the order itself doesn't offer any protection without additional steps.

1. I will keep my protection order with or near me at all times.

2. I will give copies of the protection order to the police department in the community where I work, where I live, and where I'm likely to visit.

3. I will ask the court that issued the protection order how to confirm that it's on file in the country and state database.

4. I will inform my employer, trusted friends, and other allies that I have a protection order in place.

5. If the order is lost or destroyed, I know that I can get another copy from the clerk's office.

6. If the order is violated by my partner, I will report the violation to the police. The number to call is .

At Work

Because it's likely that my partner knows where I work, I will take special precautions while there. It's up to each individual how much they're willing to share, so I will consider doing some or all of the following:

1. Informing my boss and security personnel that my partner is not to visit me at work, and provide a picture to the front desk.

2. Asking a coworker to help me screen my calls at work. I will ask to do this.

3. I will ask to escort me to my car after work.

4. I will vary my routes to and from work. If I feel that I'm being followed, I will drive to the nearest police station or call 911.

5. If possible, I will request a temporary or permanent transfer

Things to Take With Me

If I'm in immediate danger, I will leave immediately and will not take time to collect any items. My primary responsibility is to myself and my children. However, if time permits, I will collect certain items ahead of time. These items include:

1. Money. Even if I don't work, I am legally able to take money from joint savings accounts or to save money on my own. If I do not take my share of money from the account, my partner is legally able to take all the money and close the account.

2. The following items are critical, and should be set aside if possible:
- Identification cards
- My birth certificate
- School and vaccination records
- Checkbook and ATM card
- Keys
- Medicine
- Welfare ID, work permits, green cards
- Children's birth certificates
- Social Security cards
- Credit cards
- Driver's license and registration

3. The following items are important, and should be kept if possible.
- Passports
- Divorce papers
- Medical records
- Lease and rental agreements, deeds, etc
- Address book
- Pictures, sentimental items
- Children's favorite toys and comfort items

Important Numbers

Emergency: 911
Local police / sheriff:
Police / sheriff near children's school:
Police / sheriff near work:
Prosecutor's office:
Local domestic violence program:
National Domestic Violence Hotline: 800-799-SAFE (7233) / www.ndvh.org
Someone who can get help in an emergency: