|verified| | Latina Abuse Amelia

DOCUMENT (if safe) ------------------ Date/Time | What Happened | Injuries | Photos? (Y/N) ____________________________

SAFE SPOT --------- Room: ____________________________ Phone: ___________________________ Cash: $_____ (hidden in __________________) latina abuse amelia

EXIT PLAN --------- Door: ____________________________ Window: __________________________ Neighbour’s house: _______________ Transport: _______________________ latina abuse amelia