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HOA Emergency Contact Form

Communications

Form for homeowners to provide emergency contacts and critical property information for use during community emergencies.

About this template

In an emergency — fire, flood, severe weather, or gas leak — the board and first responders need quick access to homeowner contact information and property details. This form collects emergency contacts, pet information, utility shutoff locations, and special needs accommodations. The information is kept confidential and shared only with authorized emergency personnel.

What's included
  • Primary and secondary emergency contacts
  • Pets present in the home (for first responder safety)
  • Utility shutoff locations
  • Medical or accessibility needs
  • Insurance carrier and policy number (optional)
  • Confidentiality and authorized use statement
When to use this template

Request this form from all homeowners annually and update it when residents change. Store the information securely and make it accessible only to the board president, property manager, and designated emergency coordinator.

Template preview
Replace all [BRACKETED] fields with your community's details
[COMMUNITY NAME] HOMEOWNERS ASSOCIATION
EMERGENCY CONTACT INFORMATION
CONFIDENTIAL

Property Address: _________________________
Homeowner Name: ___________________________
Phone: ________________ Email: ____________

EMERGENCY CONTACTS
Primary Contact: ___________________________
Relationship: ___________ Phone: ____________

Secondary Contact: ___________________________
Relationship: ___________ Phone: ____________

PETS IN HOME
[ ] Dog(s) — Breed(s): _____________________________
[ ] Cat(s)
[ ] Other: _____________________________

UTILITY SHUTOFFS
Water: _____________________________
Gas: _____________________________
Electric: _____________________________

SPECIAL NEEDS / MEDICAL
[ ] Oxygen in use
[ ] Wheelchair / Mobility device
[ ] Hearing impairment
[ ] Other: _____________________________

INSURANCE (Optional)
Carrier: _____________________________
Policy #: _____________________________

CONFIDENTIALITY
This information will be used only for emergency purposes and will be shared only with authorized emergency personnel.

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Tip

Request this form from all homeowners annually and update it when residents change. Store the information securely and make it accessible only to the board president, property manager, and designated emergency coordinator.

LotWize generates this automatically with your community's actual details

Stop filling in brackets. LotWize knows your homeowners, your CC&Rs, and your violation history — it generates hoa emergency contact form documents in seconds, pre-addressed and ready to send.

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This template provides general guidance only — not legal advice. HOA rules and document requirements vary by state and by your governing documents. Always consult an HOA attorney before using any document in a legal or enforcement context.