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Emergency Contact Form

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Emergency Contact Form Powered By Docstoc
					Emergency Contact Form
This Emergency Contact Form can be used by small businesses or other entities when
hiring a new employee or updating an existing employee’s information. It provides the
employee's emergency contact information so the company knows who to contact in the
event of an accident or emergency at work. This form should be completed by every
employee to ensure that the company has updated emergency contact information for
all of its employees.
                    EMERGENCY CONTACT INFORMATION

Employee Information:

First Name: ____________________________

Last Name: ____________________________

Home Phone: (_____) ___________________

Cell Phone: (_____) ____________________


     New Employee                              Information Update



                    EMERGENCY CONTACT INFORMATION

1. First Name _________________________ Last Name _________________________
   Home Phone (_____)________________ Work Phone (____)___________________
   Relationship to you (Spouse, Child, Sibling, etc.) _____________________________
   Place of Employment ___________________________________________________


2. First Name ________________________ Last Name __________________________
   Home Phone (_____)________________ Work Phone (____)___________________
   Relationship to you (Spouse, Child, Sibling, etc.)______________________________
   Place of Employment ___________________________________________________




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DOCUMENT INFO
Description: This Emergency Contact Form can be used by small businesses or other entities when hiring a new employee or updating an existing employee’s information. It provides the employee's emergency contact information so the company knows who to contact in the event of an accident or emergency at work. This form should be completed by every employee to ensure that the company has updated emergency contact information for all of its employees.