Domestic Violence Safety Plan

The following steps can help me protect myself in case of further abuse. I can't control my abuser's violence, but I can choose how to respond and how to get to safety. I will decide for myself if and when I will tell others that I have been abused or that I am still at risk. Friends, family and co-workers can help protect me if they know what is happening and how they can help.

To increase my safety, I can do some or all of the following:

  • When I have to talk to my abuser in person, I can: ___________________________________
  • When I talk to my abuser on the phone, I can: _______________________________________
  • I will make up a “code word” for my family, co-workers and friends to let them know when I need help. My code word is: __________________________________
  • When I feel a fight coming on, I will try to move to a place where I'm least likely to get hurt such as _________________(at work) or ___________________ (at home) or _________________________ (in public)
  • I can tell my family, co-workers, boss or a friend about my situation. I feel safe telling: _______________________________
  • I can use an answering machine or ask my co-workers, friends or family members to screen my calls and visitors. I have the right not to receive harassing phone calls. I can ask ______________________(at work) or ____________________(at home) to screen my phone calls.
  • I can keep change for phone calls with me at all times. I can call any of the following people for help or support if necessary. I can ask them to call the police if they see my abuser bothering me.

            Friend: ____________________________________________

            Relative: ___________________________________________

            Co-worker: ________________________________________

            Counselor: _________________________________________

            Shelter: ____________________________________________

            Other: _____________________________________________

  • When leaving work I can: ____________________________________________
  • When walking, riding or driving home, if problems occur, I can: ____________________________________________
  • I can attend a support group for women who have been abused. Support groups are held: ____________________________ at ___________________________________
  • Telephone numbers I need to know:

            Police/sheriff's department: ______________________________

            Probation officer: _____________________________________

            Domestic violence/sexual assault program:___________________

            Counselor: __________________________________________

            Clergy: _____________________________________________

            Attorney: ___________________________________________

            Other: _____________________________________________

Reprinted and revised with permission from the Family Violence Prevention Fund.