Interactive Employee Emergency Notification Form

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Enter your phone numbers: Phone Number (Include Area Code) Phone Type Example: 415-338-1111 Direct Campus Line Enter your secondary e-mail address ( Example: Alliegator E-mail Address Enter who you would like us to contact in the event that you are in an emergency: Contact Name Example: Joe Gator Relationship Phone Number Phone Type Additional Phone Number Phone Type Relative 415-338-1111 Cellular 415-338-1111 Home HR USE ONLY Required information Phone types: Direct Campus Line, Direct Campus TTY, Cellular, Cellular TTY, Cellular Text, Dormitory, Home, Home TTY, Other, Pager 1, Pager 2 Relationship: Child, Domestic Partner, Friend, Other, Parent, Relative, Spouse Thank you for taking this step to help the University communicate with you in case of an emergency HR Form, 02-08.

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