Free Startup Employee Emergency Contact Form Template
Startup Employee Emergency Contact Form
In order to ensure the safety and well-being of our employees, [Your Company Name] requires all employees to provide emergency contact information. Please fill out the following form with accurate details. This information will be kept confidential and will only be accessed in case of an emergency.
Employee Information
|
Field |
Description |
|---|---|
|
Employee ID |
2023-22024 |
|
Full Name |
|
|
Department |
|
|
Position |
|
|
Date of Birth |
|
|
Gender |
|
|
Address |
|
|
City |
|
|
State |
|
|
Zip Code |
|
|
Phone Number |
|
|
Email Address |
Primary Emergency Contact
|
Field |
Description |
|---|---|
|
Full Name |
[Emergency Contact's Full Name] |
|
Relationship |
|
|
Phone Number |
|
|
Email Address |
Secondary Emergency Contact
|
Field |
Description |
|---|---|
|
Full Name |
[Emergency Contact's Full Name] |
|
Relationship |
|
|
Phone Number |
|
|
Email Address |
