SAFETY PLANNING CHECKLIST
Domestic Violence
Signs and symptoms of an abusive relationship
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You are fearful of your partner a large percentage of the time; You feel that you can’t do anything right
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You feel so badly about yourself that you think you deserve to be physically hurt;
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You are afraid that your partner may try to kill you; You feel emotionally numb;
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Your partner blames their violence on stress, alcohol, or a “bad day”;
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Your partner is unpredictable; has a violent and threatening behavior;
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Your partner has a bad temper; threatens to hurt you or kill you;
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Your partner has hurt you physically;
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Your partner threatened to take your children away from you, if you try to leave them;
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Your partner threatens to commit suicide, as a way of keeping you from leaving;
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Your partner forced you to have sex when you didn’t want to;
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Your partner threatened you at work, in person and or on the phone;
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Your partner is cruel to animals when they are angry;
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Your partner has destroyed your belongings and household objects;
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Your partner tries to keep you from seeing your friends or family;
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You are embarrassed to invite friends or family over to your house because of your partner’s behavior;
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Your partner limited your access to money, the telephone, or the car;
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Your partner tries to stop you from going where you want to go outside of the house;
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Your partner is jealous and possessive, asking where you are going and where you have been;
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Your partner checks up on you, and accuse you of having an affair; verbally abuses you;
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Your partner humiliates and criticizes you in front of others; often ignores you and put you down;
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Your partner always insists that they are right, even when they are clearly wrong;
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Your partner sees you as property or a sex object, rather than as a person.
Safety Planning Checklist
Printable Checklist
View Online
Developing a Safety Plan:
A safety plan, or protection plan, is a tool to help you identify possible ways to protect the victim.
Each person’s safety plan will be unique to her/his situation. However there are some common strategies that may assist the victim.
Non-emergency Preparation and Planning
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Prepare for clothing needs – clothes for self and children (store a suitcase in home).
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Prepare for financial needs - take extra cash, savings, check books and other valuables.
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Prepare children – take something meaningful for each child (ex pillows) – assist in easing the transition.
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Prepare for legal action – put legal documents in a safe and accessible place – take financial documents (records of incomes, household bills, mortgages, utilities – these will help in completing financial statements in case of legal action) identification (drivers license, social security card, birth certificate), copies of restraining orders, evidence of abuse (medical doctors/medical records, police involved, witnesses.
Emergency Safety Plan: When victim is living with the abuser
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Advise of dv complaint/tro, fro.
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Make an extra set of car keys (keep in place other than purse).
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Make a list of situations in which violence may escalate.
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Explore layout of house, access to telephones.
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Develop a plan for leaving the house – if violence occurs away from home develop a plan for leaving abuser.
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Notify neighbors to be on alert to suspicious noises – call police.
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Give children code word when you want them to call for help – teach children how to use the telephone and contact the police.
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Know safe places you can go to leave a dangerous situation.
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Have the local number to the battered women’s shelter.
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When victim is separated from abuser – severity or frequency may escalate during the separation.
During a Violent Incident:
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Leave the home if possible.
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If can’t leave – move to a room of low risk (avoid bathroom, garage, kitchen or rooms with weapons) – try to get a room with a lock and access to telephone.
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Call police (911) – have children scream to alert a neighbor.
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If able to leave by car lock doors immediately – keep them locked until in a safe place.
Safety Plan with a Restraining Order
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Keep a copy of restraining order on or near your person at all times.
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Give copies of restraining order to local police departments, children’s school, family/friends.
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Inform as many neighbors, relatives, co-workers and friends as possible that the restraining order is in effect.
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If abuser violates the restraining order contact the police (mandatory arrest) – contact your attorney/advocate/advise court.
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If abuser charged with a crime stay in contact with police, prosecutor and/or victim witness coordinator to be advised if abuser is being released from jail .
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With fro change locks to residence.

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