This might be one of the most-procrastinated tasks on people’s lists. The good news is that this ICE template includes everything you (or more realistically, your family) will need in case of an emergency. Spend 10 minutes a day filling it out and I promise it will be done inside of a week.
There are two ways to use this form:
- Print it and then store the doc in your safety deposit box.
OR - Fill out the editable PDF and store it in your computer password program.
Most password programs sort alphabetically so here’s a trick to keep the doc at the top of your password list: Rename the doc: a_ICE: For my family.
Keep the doc up-to-date by setting a reminder on your calendar to review & update it every six months.
In Case of Emergency – What My Family Should Know
(step-by-step instructions)
Date this document was last updated: ____________________
Date I will review this document: _______________________ (Mark your calendar!)
Set a reminder on your calendar to review and update this doc. If you are using a digital calendar, make it recurring.
In case of emergency, please notify these people:
•• 1. ____________________________________
•• 2. ____________________________________
•• 3. ____________________________________
These people can be family, friends or professional advisors. Whenever you see the double dots (••), that means all contact information can be found in your contacts list. Every time you update this doc, double-check that everyone’s current phone, email etc is in there.
About me
My full legal name: ____________________ State of legal residence: ________________
Date of birth: __________________ Place of birth: ______________________________
Spouse/Partner: _______________ Location of marriage certificate: ______________
Children: ______________________________________________________________________
I have created a will: Yes No
My will can be found here: ______________________________________
My personal information
Social Security #: ______________ Taxpayer ID # : _______________________
Passport #: ___________________ City/State of issue: _______________________
Expiration date: _______________I am a citizen of: ______________________
Location of citizenship papers/passport: __________________________
I have a post office box at: _______________ Combination: _______________
Enter all the applicable information right here in the document.
Insurance
• Medical – _________________ • Supplemental – _______________________
Medicare ID #_____________ • Life – ________________________________
• Homeowners – ____________ • Auto – ________________________________
• Mortgage – ________________ • Other insurance – ____________________
Whenever you see single dots (•), that means additional information can be found in the password program on your computer. In this document, just list the company you are using for each of the insurance provider.
In your password program, title each item as follows: “Insurance-Medical-Blue Cross” or “Insurance-Auto-Allstate”. This will keep all your insurance password items grouped together as they will be listed alphabetically in the program.
For each item, be sure and include the policy #, exact name on account and your agent’s name (if any.)
Professional Advisors
•• Financial advisor: ______________ •• Accountant: __________________________
•• Attorney: ______________________ •• Power of Attorney: ____________________
I have an advanced directive Yes No
•• My health care power of attorney: _________________________
I have a will Yes No •• My Executor/Personal representative: _____________
I have a trust Yes No •• My Trust attorney: _________________________________
My old tax returns can be found at: _______________________________________
Enter the full name of each person and double-check that their contact info is current in your list of contacts.
My personal tech information
Apple ID: ___________________ Apple password: _________________
Microsoft ID: ________________ Microsoft password: _____________
The password to my computer password program is: ____________
My computer login is: ______________________________
A full computer backup (hard drive) can be found here: ______________________________________________________
My cell phone # and password: ________________________
• Email(s): ______________________________________________
• Website(s): ____________________________________________
Other notes:
If you have multiple emails/websites, list the emails/domains above. Create one password item titled “Email” and within that, list each email as well and login info and where the email is hosted. Create a second password item titled “Website” and within that, list each website, where it is hosted, and login info. Also include where the domain is held and login info for that account.
Medical/Dental/Vision
•• Primary care physician: ______________
•• Dentist: ______________________________
•• Eye Dr: _______________________________
•• Other Drs: ___________________________
Prescriptions:
Other important medical details:
When adding medical practitioners to your contact list, also indicate their specialty (i.e. Dr. Beth Harrison, Primary care)
Military
Dates of service: ______________ Serial #/Grade: _______________
Honors/Decorations: _________________________________________
Location of discharge papers: ________________________________
Income accounts
If all your income accounts are handled by a financial advisor, do not create password items for each category listed below.
•• All my investments are handled by: ___________________
•• Retirement/401K: Yes No
•• IRA Account: Yes No
•• Pension Plan: Yes No
•• Cryptocurrencies: Yes No
•• Stocks/Bonds Yes No
•• Social Security: Yes No
•• Outstanding loans: Yes No
•• Cryptocurrencies: Yes No
If you have multiple accounts for any of the above categories, create one password item for each category and keep all the account info in one place (i.e. “Stocks/Bonds” would include ALL your stock and bond investment information.) Include account #, registered name on the account, and login information as well as the location of any loan document(s). For personal outstanding loans, also include the person you loaned the money to and the date/original amount of the loan.
Personal property
Primary residence: I own the property free & clear (If yes, check the box.)
I have a mortgage with: ____________________________________
• Other real estate: _________________________________________ Hidden assets (cash, jewelry…): _____________________________
Non-hidden assets (car, boat…): _____________________________
Personal safe location: ______________
Location of key: _______ or combination: _______
If you own “Other real estate”, create a password item and include all relevant details. If it is owned outright, where the title is kept; and if there is a mortgage(s), the institutions that hold the deed(s). Include login information.
Liability accounts
• Bank loan/mortgage – Yes No • Personal loans – Yes No
• Bank loan/HELOC – Yes No • Other loans – Yes No
• Other bank loans – Yes No • Credit cards – Yes No
Title each password item as labelled above. If you choose to have unique password items for each credit card, use additional descriptors to differentiate (i.e “Credit Card – BankName – Personal” or “Credit Card – BankName – Business.”) Each password item should include the name on account, account #, login credentials, and the location of any paper documents (if any.)
Bank accounts
• Checking – Yes No
• Savings – Yes No
• Safety deposit box: Yes No Bank: ____________ Key can be found here: __________________
If you have multiple checking or savings accounts, you may create unique password items for each one (i.e. “Checking – BankName – Personal” or “Checking – BankName – Business”. Include the registered name on each account, account #, and login credentials.