INTERACTIVE SAMPLE โ FICTIONAL INFORMATION โ DO NOT USE IN AN EMERGENCY
Life on Track
In Case of Emergency
David Sample's household information
Generated: September 14, 2026
This sheet is designed for quick access and to omit passwords, PINs, full account numbers, access codes, and Social Security numbers. It may still contain private information, so store it safely.
๐จ First โ read this
David is allergic to penicillin. Emma has a peanut allergy and carries an EpiPen. Bob has diabetes and mild cognitive decline and should not be left alone overnight.
If David or Carol cannot be reached, call Aunt Linda at (555) 319-6622. She has a key, can pick up Emma, and knows where the Backup Kit is stored.
Who to call
Primary Emergency Contact
Carol Sample (Spouse)
carol.sample@example.com
Backup Emergency Contact
Linda Sample (Aunt, Carol's side)
linda.sample@example.com
Primary Doctor
Dr. Sarah Kim
Where the Backup Copy Is Kept
Life on Track Backup Kit is in the fireproof safe, office closet. It includes the USB backup drive, printed Emergency Sheet, and Start Here Sheet.
Where medications are
David: medicine cabinet, master bathroom. Emma: EpiPen in backpack front pocket and school nurse office. Bob: weekly pill organizer on kitchen counter at 88 Birchwood Court.
Medical โ what a first responder should know
David Sample
Allergies: Penicillin
Conditions: High blood pressure
Blood type: O+
Carol Sample (Spouse)
Allergies: Sulfa antibiotics
Blood type: A+
Robert Sample (Father)
Allergies: Sulfa drugs
Conditions: Type 2 diabetes ยท Mild cognitive decline ยท Arthritis ยท Fall risk
Blood type: B+
Emma Sample (Child)
Allergies: Peanuts
Blood type: Unknown
Who Can Make Medical Decisions
Carol Sample ยท (555) 402-9134
Advance Directive Is At
The advance directive is in the fireproof safe (red Medical Decisions folder). Dr. Sarah Kim has a copy.
Home address
๐ 123 Example Lane, Example City, NJ 00000
๐ Meeting spot
Mailbox at corner of Maple Ave and Oak St โ visible from the house.
Evacuate to: Aunt Sue's house โ 47 Chestnut St, Philadelphia, PA. Key under back mat.
โก Utility shutoffs
Gas shutoff: Left side of house, gray box near foundation.
Water shutoff: Basement, near water heater. Turn red handle.
Electric panel: Panel in basement utility room. Main breaker top left.
๐พ Pets
Biscuit
Who takes them: Carol Sample ยท (555) 402-9134
Take Biscuit with us always. Crate and leash at back door. Aunt Sue's house allows pets.
Right now โ start here
- Call the person listed above.
- Find the Life on Track file (backup location above).
- Open "If You're Reading This" in the file โ who to call, where to go, what to find.
- Don't rush the rest. Take it one step at a time.