INCREASING MY SAFETY IN THE RELATIONSHIP 

• I will have important phone numbers accessible to my children and myself.

• I can tell ______________ and ______________about the violence and ask them to call the police if they hear suspicious noises coming from my home.

• If I leave my home, I can go (list four places) ___________, ___________, ___________, and_____________.

• I can leave extra money, car keys, clothes and copies of documents with _________________.

• If I leave, I will bring__________________ (see checklist on the back of this page).

• To ensure safety and independence, I can keep change for phone calls with me at all times, open my own savings account, rehearse my escape plan with my children and support person, and review safety plan on (date)_________________.

INCREASING SAFETY WHEN THE RELATIONSHIP IS OVER

• I can change the locks; install steel/metal doors, a security system, smoke detectors and an outside lighting system.

• I will inform _____________ and ______________ that my partner no longer resides with me and to call the police if she/he is observed near my residence or my children.

• I will tell people who take care of my children who has permission to pick them up.  The people who have my permission are _____________________________________________.

• I can tell ______________at work about my situation and ask _____________ to screen my calls.

• I can avoid stores, banks and ______________ hat I used when residing with my battering partner.

• I can obtain a protective order from _______________ court, keep it on or near me at all times as well as keep a copy with _________________.

• If I feel down and ready to return to a potentially abusive situation, I can ______________or call_______________ for support or attend workshops and support groups to gain support and strengthen my relationships with other people.