Items to Take With Me When I Leave
• Identification for myself
• Children’s birth certificate
• My birth certificate
• Social security cards
• School and vaccination/health records
• Money
• Checkbook, ATM (Automatic Tellers Machine) card
• Credit cards
• Keys—house/car/office
• Driver’s license and registration
• Medication
• Welfare identification, work permits, Green card
• Passport(s), Divorce papers
• Medical records—for all family members
• Lease/rental agreement, house deed, mortgage payment book
• Bank books, Insurance papers
• Address book—phone numbers and addresses for family, friends, doctors, lawyers, and
community agencies.
• Pictures, jewelry
• Children’s favorite toys and/or blankets
• Items of special sentimental value
• Divorce or Court Documents
• Insurance information
• Clothing
Telephone Numbers I Need to Know
Emergency—911
Columbia Police Department—(931) 388-2727
Maury County Sheriff’s Dept. (Magistrate’s Office)—(931) 388-5151
Maury County Domestic Violence Shelter—(931) 381-8580
Work number________________________________________
Supervisor’s home number_____________________________
Minister____________________________________________
Other______________________________________________
**I WILL ALWAYS KEEP A CELL PHONE WITH ME.
ALL CELL PHONES CAN CALL 911.**
**I WILL NOT HESITATE TO CALL 911 IF I AM AFRAID FOR MY LIFE**
I will keep this document in a safe place and out of the reach of my potential attacker.
Review date:_________________________
Maury County 24-hour Crisis and Referral Hotline at 931-381-8580
OR National Domestic Violence Hotline at 1-800-799-SAFE (7233)