STATE OF CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION EMERGENCY NOTIFICATION INFORMATION CAL FIRE-31 (Rev. 10/04) THE INFORMATION PRACTICES ACT OF 1977 (CIVIL CODE SECTION 1798 et seq.) REQUIRES.
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How to fill out the Emergency Notification Information CDF 31 - Santa Cruz County Fire online
Completing the Emergency Notification Information CDF 31 is essential for ensuring proper medical care during emergencies. This guide will walk you through each section of the form, helping you navigate it easily.
Follow the steps to fill out the form online.
- Press the ‘Get Form’ button to obtain the form and open it in the online editor.
- In Section A, provide your detailed employee information including your name, title, date, home address, city/state/zip code, home phone, work location/unit, and work phone.
- Move on to Section B. Here, you will list individuals to be notified in case of injury or illness. Include one primary contact (first choice) and a secondary contact (second choice), providing their names and contact information.
- In Section C, indicate your physician designation for both work-related and non-work-related injuries/illnesses. Specify the name, phone number, and address of your chosen physician or medical facility. Make sure your selected physician agrees to act as your treating physician by signing the form.
- Proceed to Section D, where you'll answer questions pertaining to voluntary medical information such as the use of contact lenses and other pertinent medical information. If necessary, provide any special instructions regarding allergies or medical needs.
- Finally, provide your signature in the designated area, confirming that the information is accurate and authorizing its release in case of a medical emergency. Include the date of signing.
- Once you have completed all sections, save your changes, and download, print, or share the form as needed.
Complete your Emergency Notification Information CDF 31 online today for your safety and peace of mind.
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