Get the free Emergency contact form revAug14 - Rutgers University Libraries - libraries rutgers

Last updated: 8/18/14 Contact Information Unless otherwise indicated, your email and phone number will be used on a Contact List that may be made available to all ...

How to fill out emergency contact form revaug14

How to fill out emergency contact form revaug14:

1. Start by filling out your personal information, such as your name, date of birth, and address.
2. Next, provide your primary contact information, including your phone number and email address.
3. Enter the name and contact information of your primary emergency contact. This could be a family member, close friend, or significant other.
4. If applicable, provide the details of a secondary emergency contact. It's always good to have a backup contact in case the primary one is unavailable.
5. Indicate any specific medical conditions or allergies you have that emergency responders should be aware of.
6. Include information about any medications you are currently taking or any medical devices you rely on.
7. Add any additional notes or instructions that emergency responders should know in case of an emergency.
8. Review the form carefully to ensure all information is accurate and up-to-date.
9. Sign and date the form to validate your submission.

Who needs emergency contact form revaug14:

1. This emergency contact form is relevant for individuals who want to ensure that their emergency contacts are informed and can be easily contacted in case of an emergency.
2. It is particularly important for individuals with medical conditions, allergies, or who rely on specific medications or medical devices.
3. Anyone who wants to be prepared and ensure that their emergency contacts are readily available should consider filling out this form.

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