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6/2005 ARCHDIOCESE OF INDIANAPOLIS EMPLOYEE EMERGENCY NOTIFICATION STAFF MEMBER: DATE: SCHOOL/PARISH/AGENCY: PERSON TO NOTIFY IN CASE OF EMERGENCY: (PLEASE LIST 3 CONTACTS) NAME: RELATIONSHIP: ADDRESS:
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How to fill out 62005 employee emergency notification

How to fill out 62005 employee emergency notification:
01
Fill in the employee's personal information such as their name, employee ID, and contact details.
02
Indicate the type of emergency notification being reported, whether it is related to an accident, illness, or other incident.
03
Provide a detailed description of the emergency situation, including the date, time, and location of occurrence.
04
Specify the severity or impact of the emergency on the employee, such as whether it resulted in injury, loss of work hours, or medical treatment required.
05
Include any supporting documentation or evidence related to the emergency, such as medical reports or witness statements.
06
Sign and date the form to confirm the accuracy of the information provided.
Who needs 62005 employee emergency notification:
01
Employees who have experienced an emergency situation in the workplace or while performing work-related activities.
02
Human Resources departments and managers responsible for ensuring the safety and well-being of their employees.
03
Employers or organizations that have implemented emergency response systems or protocols to effectively handle and respond to employee emergencies.
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