Get Emergency Contact Form - Academy Of Art University - Academyart

The Emergency Contact Form is an essential document required for all housing students at the Academy Of Art University. This guide will provide clear, step-by-step instructions on how to effectively complete and submit the form online.

Follow the steps to complete the Emergency Contact Form online.

1. Press the ‘Get Form’ button to access the Emergency Contact Form. This will open the form in your editor, allowing you to begin filling it out.
2. In the first section, enter your full name and ID number. This ensures your emergency contact information is properly associated with your student record.
3. Provide your current residence hall assignment and room number. This information helps the university locate you in the event of an emergency.
4. Indicate your health insurance provider and confirm whether you are covered in the state of California by selecting 'Yes' or 'No'. Include your insurance number for reference.
5. List any allergies you may have, as well as the last date you received a Tetanus shot. This information is vital for medical personnel in case of an emergency.
6. Indicate whether you have had a Hepatitis vaccination by selecting 'Yes' or 'No'.
7. Detail any current known medical conditions you have and any prescribed medications you are taking.
8. In the next section, you will provide information for two emergency contacts. List the name, relationship, address, and phone number for each contact, ensuring at least one is an immediate family member.
9. Include an alternative phone number for each emergency contact, if available.
10. Review the Disclosure Statement. Your signature indicates that the Academy has the right to disclose your information to your listed contacts during an emergency.
11. Finally, sign and date the form. Ensure that your parent or legal guardian also signs and dates the form if applicable.
12. Once all fields are completed, save your changes and choose to download, print, or share the form as needed.

Complete your Emergency Contact Form online today to ensure your safety and preparedness.