Items to Take With Me
When I Leave

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1. Identification for myself
2. Children's birth certificate
3. My birth certificate
4. Social security cards
5. School and vaccination/health records
6. Money
7. Checkbook, ATM (Automatic Tellers Machine) card
8. Credit cards
9. Keys—house/car/office
10. Driver's license and registration
11. Medication
12. Welfare identification, work permits, Green card
13. Passport(s), Divorce papers
14. Medical records—for all family members
15. Lease/rental agreement, house deed, mortgage payment book
16. Bank books, Insurance papers
17. Address book—phone numbers and addresses for family, friends, doctors, lawyers, and community agencies.
18. Pictures, jewelry
19. Children's favorite toys and/or blankets
20. Items of special sentimental value
21. Divorce or Court Documents
22. Insurance information
23. 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)