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EXTENDED DAY EMERGENCY INFORMATION 20142015 Child/Children's Full Name: School 13/14 Grade Date of Birth: Address: Home Phone: Email Address: Primary Emergency Phone # Parent's Name: Cell Phone #
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How to fill out emergency form 2014-2015
How to Fill Out Emergency Form 2014-2015:
01
Start by collecting all the necessary information. You will need personal details such as full legal name, date of birth, and contact information for the person filling out the form, as well as for the person the form is for (if different).
02
Provide medical information. Include any known allergies, medications currently being taken, and specific medical conditions that emergency responders should be aware of.
03
Indicate emergency contacts. Include the names, phone numbers, and relationship to the person for at least two emergency contacts who can be reached in case of an emergency.
04
Provide insurance information. Include the name of the insurance provider, policy number, and any additional relevant details.
05
Sign and date the form. Ensure that the person filling out the form has signed and dated it appropriately.
06
Submit the form to the relevant authority or institution. This could be a school, workplace, or any other organization requesting the form.
Who needs emergency form 2014-2015?
01
Students: Educational institutions often require students to fill out emergency forms to ensure the safety and well-being of their students in case of emergencies.
02
Employees: Many workplaces also require employees to fill out emergency forms to have necessary information readily available in case of accidents or emergencies on the premises.
03
Individuals with medical conditions: People with specific medical conditions or severe allergies may benefit from having an emergency form filled out, particularly if they require special medical attention.
Note: Please ensure that you use the most up-to-date version of the emergency form specific to the year 2014-2015, as different forms may vary from one another.
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