3 minutes
You must be a full-time or part-time employee of your organization to fill the employee emergency contact form.
Employee Name
Employee ID
Department
Emergency Contact Person's Name
Relationship with the person
Phone Number
Telephone Number
Address
Name of Doctor
Email Address
Doctor's Phone Number
Hospital's Address
Please list any allergies or medical conditions you have.
I hereby give my consent, that the above given information are correct and the company can use them in case of an emergency.