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EMERGENCY CONTACTS Name: Date: Please list ALL the telephone numbers that YOU may be reached at for results of labs / studies: Telephone numbers: Home Cell: Work: I, GIVE PERMISSION to Internal Medicine.

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The emergency contact form should request that the employee provide the name, home phone number, cell phone number, and email address of at least two people to contact in the event of an emergency.

As long as you ask that person beforehand, and they agree, it could be a boss/manager, someone you work with, someone in a social club/rec league you might belong to, or any organization where you may know some people. As long as they agree to being your contact, it's OK if they are not a best friend or family member.

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. ... Ideally, you will name the same person to be your agent and your emergency contact.

Emergency contact forms should be completed as part of an employee's on-boarding paperwork. The emergency contact form should request that the employee provide the name, home phone number, cell phone number, and email address of at least two people to contact in the event of an emergency.

In most cases, emergency contacts are a loved one such as a parent, spouse, adult child, or trusted friend. If possible, it's best to have at least TWO emergency contacts. This way, they will be able to work together or, if one is unavailable, the other can take charge.

Name and address of the person. Contact details such as phone number(s) and email(s) of the person. Relationship of the employee(s) with the person. Other relevant detail(s) of the person.

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.

A: For the general employee population, the employer is wise to limit a request for emergency contact information to the name and telephone number of one person as well as the employee's doctor's name and telephone number. Providing such information should be voluntary for the employee, however.

The Employee Emergency Contact Form was developed so that an Employer will have a standardized form to distribute among Employees regarding the individuals that should be contacted in the event a traumatic event occurs. ... This form will allow Employees to neatly present this required information to their Employers.

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© Copyright 1997-2025
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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