Employee Emergency Contact Form Template

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Employee Emergency Contact Form Template

To ensure your safety and well-being, please provide your emergency contact information. This information will be used only in case of an emergency.
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*
1.

Employee basic information:

Name
Name
Employee Number
Employee Number
*
2.

Employee contact information:

Phone number
Phone number
Email address
Email address
*
3.

Primary emergency contact:

Name
Name
Relationship to employee
Relationship to employee
Phone number
Phone number
*
4.

Secondary emergency contact:

Name
Name
Relationship to employee
Relationship to employee
Phone number
Phone number
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