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Request for Emergency Contact Information for Disaster Planning
and Health Ministry Outreach by Pam Taylor, R.N.
St. Marks is an active participant in local
area disaster planning and response. There
are
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How to fill out request for emergency contact

How to fill out a request for emergency contact:
01
Start by obtaining the request form. This form is typically provided by your employer or organization that needs to keep emergency contact information on file.
02
Read through the form carefully, ensuring you understand all the fields and information required. Some common fields on the form may include:
2.1
Your full name: Provide your legal first name, middle name (if applicable), and last name as requested.
2.2
Relationship to the contact: Indicate your relationship with the person you are listing as an emergency contact, such as spouse, parent, sibling, or friend.
2.3
Contact's full name: Include the full name of your emergency contact.
2.4
Contact's phone number: Enter a reliable phone number where your contact can be reached in case of an emergency.
2.5
Contact's address: Provide the complete address of your emergency contact, including street, city, state, and ZIP code.
2.6
Contact's relationship to you: Specify the relationship this person has with you, such as parent, sibling, or spouse.
03
Fill in each field accurately and truthfully. Double-check the information you provide to ensure there are no errors or typos.
04
If there are any additional sections on the form, such as medical conditions or special instructions, provide the required information accordingly.
05
Review the completed form before submitting it. Make sure all the fields are filled in correctly and that you haven't missed any required information.
Who needs a request for emergency contact?
01
Employers: Most employers require their employees to provide emergency contact information for safety and communication purposes. They may need this information in case of workplace accidents, medical emergencies, or other unforeseen circumstances.
02
Schools and educational institutions: Schools often require emergency contact information for students, especially for minors. This allows them to contact parents or guardians in case of emergencies, such as accidents or illness.
03
Volunteer organizations: Many volunteer organizations, including community centers, charities, and nonprofits, may request emergency contact information from their volunteers. This helps ensure the safety and well-being of the volunteers during their time of service.
In summary, to fill out a request for emergency contact, obtain the form provided by your employer or organization, accurately fill in the required fields such as your and your contact's information, and review the completed form before submitting it. This information is required by employers, schools, and volunteer organizations to ensure effective communication and safety during emergencies.
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