This study was done to determine roles of occupational therapy in emergency awareness, preparedness, response and recovery for with disabilities. Sixth three licensed occupational therapist practicing pediatric setting in National capital and 4A-region were asked to fill out a questionnaire. Results showed that occupational therapy has a significant role in emergency awareness, preparedness, response and recovery for children disabilities. During emergency awareness and preparedness, occupational therapy can be a trainer, educator and collaborator. During the response phase disaster management, occupational therapy can be a developer and facilitator. Occupational therapy can function as a life coach, developer and rehabilitation care provider during the recovery phase. Strong correlation exists between the age and length of service of the respondents and the roles of occupational therapy in emergency awareness, preparedness, response and recovery for children with disabilities. It is recommended that occupational therapy should be introduced to different agencies concerned about disaster management as occupational therapy roles would be greatly helpful to persons with disabilities.