Get Ca Calpers Pers-hrd-54 2010-2026

Filling out the CA CalPERS PERS-HRD-54 form is essential for ensuring that your emergency information is accessible and kept up to date. This guide provides step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete your emergency information form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Start by entering your full name in the 'Employee Name' field. Ensure that this reflects the name you are officially recognized by within the organization.
3. Fill in your division in the 'Division' section. This helps identify your specific department within the organization.
4. Provide your primary phone number in the designated field. This should be a number where you can be reached quickly.
5. Enter an alternate phone number in case the primary number is unavailable. This ensures multiple contact options.
6. Complete the 'Home Address' section with your street address, city, state, and zip code. This information is crucial for emergency services.
7. In the 'Primary Emergency Contact' section, enter the name and relationship of the person you wish to be contacted during an emergency. Fill out their address and contact information as well.
8. If applicable, provide the details for a 'Secondary Emergency Contact' in the same manner as the primary contact. This is important in case the primary contact cannot be reached.
9. Provide your health care provider's contact information, including their name and phone number. Indicate if you have pre-designated a physician as required.
10. Review the 'Employee Statement' and, if you agree, acknowledge your understanding by signing and dating the form in the provided areas.
11. Once you have completed the form, make sure to save your changes. You can then download, print, or share the form as needed.

Complete your emergency information form online for peace of mind and safety.