ICE 

Trusted Neighbor:

 

[name]                 

[address]

[city, state, zip]

[phone #s]

[email addreesses]

 

Note: [about neighbor, E.g., 

They have a key to our house and our permission to enter when necessary.]

 

 

→ ICE - Petcare

 

 

Estate Information

 

Attorney:

 

Name:

Address:

Phone:

Email:

 

Power of Attorney:

 

Name:

Address:

Phone:

Email:

 

Wills:

 

Note: Check home safe and safety deposit box for wills.

 

Advance Healthcare Directives / Health Care Proxies

 

Note: Copies of Advance Healthcare Directives (AHD) are on file at [locations]. Our personal health records (PHR), including AHD, are stored and may also be accessed, electronically.

   

1. PHR on keychain thumb drive:

ICE Info

Password:

 

2. PHR on HealthVault

 

Note: Our PHR are in [name]'s HealthVault account. Basic emergency health/medical information is available online from our PHR on HealthVault. Each time the emergency information is updated on HealthVault, a new access code is generated.

 

The HealthVault URL, Username, and password to our complete PHR on HealthVault are stored on our keychain thumb drives.

 

Emergency Health/Medical Information:

 

 Note: Check our wallets for HealthVault URL and access codes and a brief summary of our emergency health information. Also check our mobile device ICE displays (on lock screens). E.g.,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Banking Information:

 

Name:

Address:

Phone:

Website:

Email:

Account #s:

 

Credit Card Information:

 

Retirement Accounts InformationSystem

 

Note: In case of death, notify the organizations at phone numbers and URLs, below.

 

Name:

Address:

Phone:

Website:

Email:

Account #s:

 

Life Insurance Policies & Annuities

 

Note: In case of death, notify the companies at phone numbers and URLs, below.

 

Name:

Address:

Phone:

Website:

Email:

Account/Policy #s:

 

Health Insurance Policies

 

Note: In case of death, notify the companies at phone numbers and URLs, below.

 

Name:

Address:

Phone:

Website:

Email:

Account/Policy #s:

 

Home/Auto Insurance

 

Note: In case of death, notify the companies at phone numbers and URLs, below.

 

Name:

Address:

Phone:

Website:

Email:

Account/Policy #s:

 

Drivers Licenses

 

[name]

State:

Number:

Expires: 

 

 

Organization Memberships

 

Name:

Address:

Phone:

Website:

Email:

 

Subscriptions

 

 

Utilities

 

Note: See thumb drive in safety deposit box for usernames, passwords, and additional information

 

Electric

Utility Name:

Account #: 

Phone:

Website:

Username: ​

 

Gas

Utility Name:

Account #: 

Phone:

Website:

Username: ​

 

Water

Utility Name:

Account #: 

Phone:

Website:

Username:

 ​

Phones

Phone: 

Account: ​

​Plan: 

Device: 

​

Phone: 

Account: 

Plan: 

Device:

 

Trash Collection

Customer ID#​:​

Contact: 

URL:

 

Pest Control

Account:

Phone:

Website:

 

 

Computers, iPads, Websites, etc.

 

Note: See thumb drive in safety deposit box for accounts, URLs, passwords, and additional information.

 

 

Services

 

HVAC

Name:

Location: 

Phone: 

Email: 

 

Plumbing

Name:

Location: 

Phone: 

Email: 

 

Yard Work & Maintenance

Name:

Location: 

Phone: 

Email: 

 

Pest Control

Name:

Location: 

Phone: 

Email: 

Termite Certificate: