Emergency Contact Form



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What do you put in an employee emergency contact sheet? What is an employee emergency contact sheet? When can an employer use emergency contact?

An Emergency Contact Form is a sheet that contains important information about person(s) who to contacted in case of an emergency/accident/incident that has happened to an employee.

This emergency list classifies as a sample Human resources (HR) document. Building a business has many steps and requirements, and one crucial component of starting and getting a business to grow that often gets overlooked is HR. Having an HR manager or department within your company requires effort and knowledge, and, depending on the size and industry, might become quickly overwhelming. 

Within an organization, the Human resources department manages its employees, from the beginning: by selecting and recruiting staff (sifting through resumes, job applications and conducting interviews), onboarding and training them, do performance reviews (KPO setting, annual review, etc), all employment-related paperwork, and finally also arranges the termination of the employees. They need to oversee the organization's fair employment practices, HR Handbook, workplace safety, benefits, payroll, and vacation time.

Employee Emergency Contact Form Relevant Content:

  • Name
  • Department
  • Personal Contact Info:
  • Home Address
  • City, State, ZIP
  • Home Telephone #  Cell #
  • Emergency Contact Info:
  • (1) Name Relationship
  • Address
  • City, State, ZIP
  • Home Telephone #  Cell #
  • Work Telephone #  Employer
  • (2) Name Relationship
  • Address
  • City, State, ZIP
  • Home Telephone #  Cell #
  • Work Telephone #  Employer
  • Medical Contact Info:
  • Doctor Name.  Phone #
  • Dentist Name  Phone #
  • I have voluntarily provided the above contact information and authorize and its representatives to contact any of the above on my behalf in the event of an emergency.
  • Employee Signature 


This ready-made Emergency Contact List template is well suited for any kind of personalized business matter. Communicating in a professional way will get you and your company respect and will make you more successful. 

We support you by providing this Emergency Contact List Template. By using this Emergency Contact List Template, you will see that it gives you extra motivation and inspiration, which is helpful in order to finish your work faster. Besides, you will have saved time that you can use to focus on other matters that are important.

Download this free printable Employee Emergency Contact Form Template now for your reference so you are prepared in case you need it.

Also interested in other HR templates? Browse through our database and get instant access to hundreds of free and premium HR documents, HR forms, HR agreements, and more.




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