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Berkeley Unified School District Human Resources Department 2020 Bonar Street Suite 206 Berkeley Ca 94702 510 644-6150 EMERGENCY CONTACT INFORMATION In case of emergency I would like the District to attempt to contact the following individual s Primary Contact Name Home Phone Address Work Phone Cell Phone Relationship Alternate Contact EMPLOYEE NAME SIGNATURE NOTE IT IS IMPORTANT THAT YOU UPDATE THIS FORM WHEN CHANGES OCCUR THAT WOULD AFFECT WHO YOUR EMERGENCY CONTACT IS. TDA 5.
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