Preparedness is essential, especially in organizations where there are a lot of individuals to protect from and be liable for during emergency situations and accidents. This is the reason why organizations require their members, employees, and affiliated individuals to complete an emergency contact information form to indicate the names of the people who are authorized as emergency contacts.

Emergency Contact Information Form Sample

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Emergency Contact Information Form in DOC

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What Is an Emergency Contact Information Form?

An emergency contact information form is a document which is used by organizations to collect and record the names and phone numbers of an individual’s contact person. In addition, the medical details of the individual can also be included in the form as well as an indication of whether or not the individual and his legal guardian permit the organization to administer treatment and procedures during emergency circumstances.

Emergency Contact Notification Information Form

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Member Emergency Contact Information Form

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Why Are Emergency Contact Information Forms Important?

Emergency contact information forms are important because it serves as an instrument for the organization to know to whom they should reach out to report that their member or an individual is in an emergency situation such as an accident. Moreover, this form is also used by educational institutions to contact the students’ parents if there are emergency meetings and early dismissals.

Companies who have the emergency contact information of their employees can also use the data to know who they can call in conducting a follow-up procedure about the state of the employee, especially if the employee had been absent for consecutive days without filing any type of employment leave. This allows the company to determine what actions must be taken to help the employee in need.

Personal Data and Emergency Contact Information Form

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Varieties of Emergency Contact Information Forms

Business Emergency Contact Information Form – This is the variety of emergency contact information form which is to be filled out by business owners and must be submitted to the State’s authorities such as the police and the fire agency. In a business emergency contact information form, the owner must disclose his business information such as the name of his business, the security and alarm company who monitors the premises of the business establishment, and the list of hazardous materials present in the establishment. Additionally, he must also enlist his preferred contact persons along with their home and mobile phone numbers, job title, and fax numbers. And in the last portion of the form, there are options which can be used by the business owner for choosing his preferred method of submitting the form, either by mail or by faxing the form.

Business Emergency Contact Information Form

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Child Care Emergency Contact Information Form – Child care centers and agencies must ensure that their clients’ children, whom they are taking care of, are safe and secured in the premises of the agency or the center. In addition, a child care emergency contact information form must be used. This form will document the child’s personal data along with the contact numbers of his legal guardians or parents and emergency contact persons. Moreover, the child’s usual source of medical care will also be stated in the form as well as the child’s health insurance details, special conditions, and the preferred transport arrangement of the child’s parents.

Child Care Emergency Contact Information Form

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Emergency Contact and Medical Information Form – This form contains four sections which must be completed by a child’s parent or legal guardian just like the aforementioned child care emergency contact information form. The sections of this form gather the child’s and the parent’s details, the alternative emergency contacts for the child, the child’s medical information, and the parental consent or authorization.

Emergency Contact and Medical Information Form

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Emergency Contact Information and Internet Usage Form – Not only will this form be for documenting essential contact details but also for informing a student’s parent or legal guardian about the internet usage provided by the institution. In order to complete the form, the parent must indicate the name, address, identification number, telephone number, date of birth, and the social security number of the student. Both the student and his parent or legal guardian must affix their signatures in the emergency contact information section of the form along with the emergency contact person’s name and number. And if the parent or legal guardian agrees on the internet usage and access provided by the institution for the student, he must affix his signature on the allotted area to indicate his approval.

Emergency Contact Information and Internet Usage Form

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Emergency Contact Information and Pick-up Release Form – Elementary and preschools are the main users of this form variety. The parent of the child attending in school will be the one who will need to fill out the form wherein he must disclose his contact details along with the basic personal and contact information of the people whom he entrusted or authorized to pick up his child. Specifically, the relationship of each authorized person to the child must be indicated for ample identification. Furthermore, to ensure that the child will have someone who will be picking him up, the additional authorized pickup form must be filled out as well. This supplemental form is to enlist five more individuals who are authorized and can be the alternative contact persons for the child in the event that the first list and the legal guardians are not available.

Emergency Contact Information and Pick-up Release Form

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Employee Emergency Contact Information Form – For companies, an employee emergency contact information form is the right document to use which is comprised of three sections. The first section is intended for the employee’s personal information while the second section collects the employee’s contact information. The third section, on the other hand, is an optional section for recording the employee’s religious and funeral preferences, affiliated organizations, life insurance policies, and special requests such as the list of specific organs to be donated after death.

Employee Emergency Contact Information Form

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To conclude, emergency contact information forms can also be accompanied or be partners with other forms and documents such as a medical information form for knowing the medications and illnesses that an individual is currently dealing with, or an insurance information form to acknowledge the insurance companies and policies the individual is enrolled in. Moreover, emergency contact information forms must only be used by authorized personnel or staff members of an organization to ensure that the data in the form will not be used outside the purpose of reporting an emergency.

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