Modify as required. Insert actual names where possible – example, The Good Coverage Insurance Agency)
| Police Department | (XXX-XXX-XXXX) |
| Fire Department | (XXX-XXX-XXXX) |
| <Local Ambulance Service> | (XXX-XXX-XXXX) |
| <Poison Control Service> | (800-222-1222) |
| Emergency Message Line | (XXX-XXX-XXXX) |
| <Alarm Company> | (XXX-XXX-XXXX)(Contact Person) |
| <Facilities and Groundkeeper> | (XXX-XXX-XXXX)(Contact Person) |
| <Local Ambulance Service> | (XXX-XXX-XXXX) |
| <Insurance Agency> | (XXX-XXX-XXXX)(Contact Person) |
| Policy #: | |
| <Local Electric Power Company> | (XXX-XXX-XXXX) |
| <Gas Company> | (XXX-XXX-XXXX) |
| <Telephone Company> | (XXX-XXX-XXXX) |
| <Waste Disposal Service> | (XXX-XXX-XXXX) |
| <Plumber> | (XXX-XXX-XXXX)(Contact Person) |
| <Electrician> | (XXX-XXX-XXXX)(Contact Person) |
| Public Works | (XXX-XXX-XXXX) |
| <Local TV> | (XXX-XXX-XXXX) |
| <Local Radio> | (XXX-XXX-XXXX) |
| <Information Technology Team> | (XXX-XXX-XXXX)(Contact Person) |
| <Provincial/Territorial Facility> | (XXX-XXX-XXXX)(Contact Person) |
| <Preservation and Archive Services> | (XXX-XXX-XXXX) |
| <Other> | (XXX-XXX-XXXX) |