HTML Preview Hr Employee Emergency Notification Form page number 1.
South Carolina Department of Public Safety
Office of Human Resources
Emergency Notification Form
Employee Name: _______________________________________________________________
Department: ___________________________________________________________________
Employee Address: _____________________________________________________________
Home Phone Number: ___________________________________________________________
In case of emergency, please notify:
Name: _______________________________________________________________________
Daytime Phone Number: _________________________________________________________
Evening Phone Number: _________________________________________________________
Address: ______________________________________________________________________
Relation: _____________________________________________________________________