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11/5/2008 BUTLER COUNTY COMMUNITY COLLEGE IN CASE OF EMERGENCY NOTIFICATION Please provide the name, address, phone numbers, email address, and relationship of the person you would want notified in
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How to fill out emergency notification form:

01
Start by filling out the personal information section of the form. This will typically require your full name, contact information, and any relevant identification numbers or codes.
02
Proceed to the emergency contact section. Provide the names and contact information of individuals who should be notified in case of an emergency.
03
Next, fill out the medical information section. Include any relevant medical conditions, allergies, or medications that emergency responders should be aware of.
04
If applicable, indicate any specific preferences or instructions in the special instructions section. This can include details such as preferred hospitals or doctors, specific medical procedures to be followed, or any other important information.
05
Finally, review the form thoroughly to ensure all information is accurate and complete. Sign and date the form as required.

Who needs an emergency notification form:

01
Individuals with medical conditions: Those who have specific medical conditions or allergies that could require immediate attention or special care should have an emergency notification form on file.
02
Elderly individuals: Older adults who may have difficulty communicating or remembering important medical details should have an emergency notification form to ensure their needs are properly addressed in case of an emergency.
03
Individuals with disabilities: Those with physical or cognitive disabilities can benefit from having an emergency notification form to outline their specific needs and requirements during emergency situations.
04
Students and employees: Educational institutions and workplaces may require students or employees to fill out emergency notification forms to ensure their safety and provide necessary accommodations.
05
Individuals who frequently travel: People who frequently travel or engage in activities with potential risks should have an emergency notification form to provide critical information to responders in case of an emergency.
Remember, an emergency notification form is an important document that helps ensure your safety and well-being during unforeseen circumstances. Keep it updated and easily accessible to ensure a prompt and effective response in times of need.
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Emergency notification form is a document used to report emergency situations or incidents.
Any individual or organization who becomes aware of an emergency situation is required to file an emergency notification form.
To fill out an emergency notification form, one must provide detailed information about the emergency situation, including date, time, location, and description.
The purpose of an emergency notification form is to quickly and accurately report emergency situations to the appropriate authorities for prompt response and resolution.
Information such as date, time, location, description of the emergency situation, and contact information of the person filing the form must be reported.
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