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University Center North, Room 203, Houston, TX 77204-3024 • Phone: (713) 743-5065 • Fax: (713) 743-5079 • http://uh.

edu/oisss

EVACUATION PLANS FORM

It is possible that during an emergency (hurricane, flood, etc.), the University would shut down and be evacuated. In this
event, we need to know what you plan to do. Note: This information is being collected only so that we can project what
our needs are in terms of shelter, transportation, food, etc. This information is for planning purposes only; you
are not obligated to this forecast. Should an emergency actually occur, you would be free to change your plans.

Name ____________________________________
Mohammed Ishan Iqbal UH ID Number: _____________
2148154 12/30/21
Date:_______________________

Address______________________________________
Stratford Apartments, Linkwood Dr., Houston Telephone_____________________
0013465043257

In the event that the University of Houston is evacuated due to an emergency, I plan to:

_____ Return to my parent/family’s home at:

Address: ___________________________________________________________________________

Phone Number:______________________________________

_____
>>> Stay with a friend at:

Address:____________________________________________________________________________
Stratford Apartments, Linkwood Dr., Houston, Texas, USA

Phone Number_______________________________________
0018327947624

_____ Not return home, but I will make my own plans and handle my own evacuation.

_____ In addition, I will need special accommodations.

Please explain (transportation, wheelchair access, etc.) _____________________________________________

__________________________________________________________________________________________

NOTE: If you live on-campus, please contact your Residential Life and Housing Office representative for
evacuation instructions.

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