STATE OF ALASKA EMERGENCY CONTACT FORM IMPORTANT: With the implementation of IRIS HRM every Employee who has an LDAP has access to update their Emergency Contact through the Employee Self Service.

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How to fill out the AK Emergency Contact Form online

Filling out the AK Emergency Contact Form online is an important step for employees to ensure that their emergency contact information is up to date. This guide provides a clear, step-by-step approach to completing the form accurately and effectively.

Follow the steps to complete the AK Emergency Contact Form

  1. Click 'Get Form' button to access the AK Emergency Contact Form and open it in your preferred online document editor.
  2. Begin filling out your personal information. Enter your full name, employee ID or Social Security Number, department, and home unit in the designated fields.
  3. For the first emergency contact, fill in the required fields including their relationship to you, prefix, first name, middle name, last name, suffix, comments (if any), email address, and phone numbers. Make sure to complete at least one phone number.
  4. Provide the address of the first contact, including street address, city, state, country, and zip code. These fields are required if you are adding an address.
  5. If you wish to add a second emergency contact, repeat the same process as above for the second contact’s relationship, name, contact information, and address.
  6. At the end of the form, sign to confirm the details provided are accurate. Include your state, country, zip code, and the date of completion.
  7. Once all required sections are completed, save your changes, then download, print, or share the form as necessary. Ensure that you submit the completed form to the Payroll Services section in the Division of Personnel & Labor Relations.

Ensure your emergency contact information is up to date by filling out the AK Emergency Contact Form online today.

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What is the purpose of emergency contact?

Your emergency contact is the first person healthcare providers and emergency services will contact if you're in a medical or mental health crisis. It's important that your emergency contact knows your health history and has access to your health information.

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.

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.

All emergencies should be reported by calling 911. Active, non-emergency events should be reported on the business line by calling 907-450-6500.

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