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TOWN OF AUGUST HUMAN RESOURCES 298 CENTRAL STREET AUGUST, MASSACHUSETTS 01906 Telephone: (781) 2314142 Fax: (781) 2315666EMPLOYEE EMERGENCY CONTACT FORM To be completed and returned to the Human Resource
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How to fill out emergency contact form

How to fill out emergency contact form:
01
Start by providing your personal information, such as your full name, address, and phone number.
02
Next, include the name and contact information of your primary emergency contact. This is typically a family member or close friend who can be reached in case of an emergency.
03
If applicable, provide the name and contact information of a secondary emergency contact. This can be another family member or friend who can be contacted if your primary contact is unavailable.
04
Include any relevant medical information, such as allergies or chronic conditions, that emergency responders should be aware of.
05
Specify any medications you take regularly and include the dosage and frequency.
06
Indicate any special instructions or preferences in case of an emergency, such as a preferred hospital or healthcare provider.
07
Sign and date the form to confirm its accuracy.
Who needs an emergency contact form:
01
Individuals of all ages can benefit from having an emergency contact form. It is particularly important for children, elderly individuals, and individuals with chronic health conditions.
02
Students, especially those attending schools or participating in extracurricular activities, frequently need to provide emergency contact information.
03
People with jobs that involve potential risks or hazards, such as construction workers or first responders, should have an emergency contact form on file.
04
Individuals who frequently travel alone or participate in outdoor activities may also want to have an emergency contact form accessible.
Overall, anyone who wants to be prepared for unexpected emergencies should have an emergency contact form filled out. It is a simple but crucial step to ensure that appropriate individuals can be contacted quickly in times of need.
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What is emergency contact form?
An emergency contact form is a document that contains information about an individual's designated contacts in case of an emergency.
Who is required to file emergency contact form?
Employees are typically required to file emergency contact forms with their employers.
How to fill out emergency contact form?
An individual can fill out an emergency contact form by providing their personal information, such as name, address, phone number, and the contact information of their designated emergency contacts.
What is the purpose of emergency contact form?
The purpose of an emergency contact form is to ensure that in the event of an emergency, the individual's designated contacts can be reached quickly and efficiently.
What information must be reported on emergency contact form?
Information such as name, address, phone number, and relationship to the individual must be reported on an emergency contact form.
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