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West Virginia Department of Health and Human Resources EMPLOYER CONTACT FORM County: Name: SSN: Phone: Address: Date Time of Employer/Company Name Contact and Telephone Number Must be returned by:.

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Employer contact means participant communication with an employer or employer's representative through a visit, phone call, or mail to request consideration for employment.¶

Items to Put on an Emergency Contact List Family physician and hospital. The first name and number on your list should be your family's doctor and a local hospital. ... School contacts. ... Local contact. ... Next of kin. ... Work contact. ... Additional emergency contacts. ... Electric and utility companies. ... Poison control center.

Make sure you and new hires complete employment forms required by law. W-4 form (or W-9 for contractors) I-9 Employment Eligibility Verification form. State Tax Withholding form. Direct Deposit form. E-Verify system: This is not a form, but a way to verify employee eligibility in the U.S.

Since accidents happen in the workplace, it's important for employers to know who to contact in case of an emergency. Having a reliable data quality system to keep this information intact can be of immense help in that regard.

The form should contain basic information such as the employee's name, address, and date of birth. Contact details are often included in case you need to get in touch with an employee in an emergency or other important situation.

The Employee Emergency Contact Form is used by an Employer to collect the contact information of an Employee's family or partner in case of emergency. For instance, if an Employee suffers an injury at the work place and must be taken to an Emergency Room, he or she may require a spouse or a parent to be contacted.

An emergency contact is the first person medical personnel will get in touch with in an emergency, but your emergency contact may not have the legal authority to act on your behalf unless you explicitly provide that power.

The form should contain basic information such as the employee's name, address, and date of birth. Contact details are often included in case you need to get in touch with an employee in an emergency or other important situation.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232