A contact sheet can be complete on the first shift and unreliable by the next staffing change. A family member stops answering unknown callers. The agency changes its after-hours number. A neighbor returns a key. A new caregiver sees three names and cannot tell who should be called first.

The maintenance job is not adding more names. It is keeping one short call path accurate, visible, and owned. Use the steps below during the first shifts, then repeat the same check whenever a contact, caregiver, provider, or household access arrangement changes.

1. Start with situations, not a directory

Take a blank sheet and make separate rows for these situations: immediate danger, caregiver cannot enter, caregiver will be late or absent, parent cannot be reached inside the house, household problem such as a leak or loss of power, and a question that can wait.

Ask the provider: “For each row, whom does the caregiver contact first, second, and third?” Then ask: “Which situations must also be reported to your office?”

Write down:

Immediate danger: ____________________
Cannot enter: ____________________
Late or absent: ____________________
No answer inside: ____________________
Household problem: ____________________
Question that can wait: ____________________

Do not turn this sheet into medical instructions. If the provider needs separate instructions for health-related situations, ask where those instructions are kept, who approved them, and who updates them. This sheet should tell the caregiver whom to contact, not ask the caregiver to interpret a long family note.

Public basis: Ready.gov’s “Family Emergency Communication Plan” tells households to collect contact information, identify meeting places, learn the plans used by caregivers and service providers, and practice the communication plan. The supporting public pages are identified on the site’s Sources page.

2. Put one answer in the first position

For every non-emergency row, choose one first contact. Do not write “call Mark or Susan.” That transfers the family’s decision to the person standing in the house.

Ask each proposed first contact:

“Will you answer calls from an unfamiliar number during the shift?”
“If you miss the call, will you check a text or voicemail?”
“Can you make the decision this row may require?”
“If you cannot be reached, who is next?”

Record the exact order:

First contact: ____________________
Phone: ____________________
Text allowed: yes / no
Second contact: ____________________
Phone: ____________________
Provider office or on-call line: ____________________

Listen for an answer that names a person, a working number, and the point at which the caregiver moves to the next contact. “Someone in the family will handle it” is not a call path.

3. Make the provider name its side of the route

The family contact sheet and the provider’s reporting process may not be the same. Find the seam before the first problem.

Ask:

“Does the caregiver call the family first or your office first when unable to enter?”
“Which number is answered while this shift is running?”
“What should the caregiver do if that number goes to voicemail?”
“Who tells the family that a replacement caregiver is coming?”
“Where is the attempted contact recorded?”

Write the provider’s answer beside the applicable row. If an agency uses an app or portal, record whether the caregiver must also call. A message sent into a system is not the same as a confirmed handoff unless the provider says who watches that system and what happens when no one responds.

Walk away from an unresolved setup if the provider will not identify a usable contact route for the hours you are buying, or if every person says someone else owns the response.

If you are still separating agency responsibility from family responsibility, use Hire a Caregiver in St. Louis: Agency or Direct before finalizing the sheet.

4. Make a one-page working copy

Put only the information needed to complete the call path on the working copy. Use large type or clear handwriting. Label family, provider, building contact, and emergency services separately. Add the home address exactly as it should be read aloud, including apartment, unit, floor, gate, or building name.

Include:

Parent’s full name: ____________________
Address to read aloud: ____________________
Nearest cross street or building identifier: ____________________
Primary family contact: ____________________
Backup family contact: ____________________
Provider office: ____________________
Provider on-call route: ____________________
Building or property contact: ____________________
Approved nearby contact: ____________________

Do not add account passwords, financial information, identity numbers, alarm codes, or a full medical history just because there is blank space. Keep access instructions and other sensitive records in the place assigned for them. The working sheet should expose no more than the caregiver needs to make the call.

Mark the sheet “Working Copy” and give it a revision number. Put the same revision number on every approved copy. This provides a way to spot an old copy without putting a calendar date on the page.

5. Test the ordinary numbers without staging an emergency

During an early shift, have the caregiver locate the sheet and explain the route for two ordinary situations, such as being unable to enter or needing to report a household problem. Then call or text the ordinary family and provider contacts using the number printed on the sheet.

Do not place test calls to emergency dispatch. The test is for the family and provider route.

Record:

Caregiver found the sheet without help: yes / no
First ordinary contact answered: yes / no
Backup contact answered: yes / no
Provider route reached a person or stated next step: yes / no
Correction required: ____________________
New revision number: ____________________

The useful result is not “everybody knows.” The useful result is that the caregiver found the page, chose the correct row, reached the listed route, and knew when to move to the next name.

Public basis: Ready.gov’s preparedness guidance recommends a written family communication plan, multiple contact methods, an out-of-area contact, accessible copies, and practice. These are preparedness principles, not a substitute for the provider’s own emergency policy. See the public-source method described in How We Write the Sheets.

6. Assign the maintenance job to one person

Write one name at the bottom:

Contact-sheet owner: ____________________

That person owns four actions: receive changes, verify the new information, replace every approved copy, and tell the provider which revision is active.

Ask the provider where its copy lives. Ask whether the caregiver sees a paper copy, an app record, an office profile, or more than one of these. Write down every location because each location can preserve an old number.

Approved copy locations:

Inside the home: ____________________
Provider record: ____________________
Family copy: ____________________
Other authorized location: ____________________

When a number changes, the owner should call or text it before issuing the next revision. A corrected digit is not verified until the intended person confirms receipt.

7. Use change triggers instead of hoping someone remembers

Review the sheet whenever one of these events occurs:

A first or backup contact changes.
A contact changes phone numbers.
The provider changes its office or on-call route.
A new caregiver starts.
The parent moves within the building or to another address.
A building contact, lock arrangement, or nearby helper changes.
A test exposes a dead number, unanswered route, or conflicting instruction.

The owner should ask one maintenance question after each trigger: “Which copies now contain the old route?” Replace those copies before treating the change as finished.

8. Run a short handoff with every new caregiver

Do not point at the sheet and say it is self-explanatory. Ask the caregiver to show where it is and answer three questions:

“Who do you call if you cannot enter?”
“Who is the backup if the first person does not answer?”
“Which situations must also go through the provider?”

Write down the caregiver’s answers. If the answers differ from the sheet, stop and resolve the conflict with the provider. Do not maintain two versions to accommodate two understandings.

Handoff completed by: ____________________
Caregiver identified the active revision: yes / no
Conflict found: ____________________
Person assigned to resolve it: ____________________

9. Know the signs that the system is not being maintained

Stop treating the sheet as reliable when:

Different caregivers use different family contacts for the same event.
The office and caregiver give different instructions.
A disconnected number remains on any working copy.
No one can identify the active revision.
The named owner makes changes but does not replace copies.
The provider cannot explain what happens after an unanswered call.
Sensitive information keeps being added because no separate record has an owner.

The next move is to pull every copy, settle one route with the people responsible, issue one revision, and repeat the ordinary-number test. If the provider cannot participate in that correction, write down what it will and will not maintain before adding more hours.

10. Close the first handoff with five written answers

Before calling the contact sheet finished, fill in:

The active revision is: ____________________
The owner is: ____________________
The provider keeps its copy at: ____________________
The caregiver finds the home copy at: ____________________
The next change trigger will be reported to: ____________________

This is the maintenance standard: one active page, one owner, named copy locations, and a tested route. If you need to place this check inside the larger hiring sequence, use Start Here: Five Steps to Hiring.