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SM CCD Emergency Contact Information/Health Insurance Form (* Athlete completes & signs form. Parent/Legal Guardian must sign as well if student is under 18 years of age) Print Name: Last First Date
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How to fill out emergency contact form

How to fill out an emergency contact form:
01
Start by writing your full name at the top of the form.
02
Next, provide your contact information such as your phone number and email address.
03
Fill in your relationship to the person you are designating as your emergency contact. This could be a family member, close friend, or colleague.
04
Provide the full name and contact details of your emergency contact. Include their phone number, email address, and any other relevant information.
05
If there is a specific medical condition or allergy that the emergency contact should be aware of, be sure to note it on the form.
06
Lastly, sign and date the form to confirm that the information provided is accurate.
Who needs an emergency contact form:
01
Everyone should have an emergency contact form filled out, regardless of age or health condition.
02
Individuals living alone, traveling frequently, or participating in high-risk activities such as adventure sports should especially have an emergency contact form.
03
Students, particularly those away from home for college or studying abroad, should have an emergency contact form on file.
04
Employees in the workplace may be required to provide an emergency contact form to ensure their safety during any unforeseen circumstances.
05
Patients admitted to hospitals or healthcare facilities are often required to provide an emergency contact form as part of their admission process.
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What is emergency contact form?
Emergency contact form is a document that collects information about individuals to contact in case of an emergency.
Who is required to file emergency contact form?
All employees are required to file emergency contact form.
How to fill out emergency contact form?
To fill out emergency contact form, you need to provide your name, relationship to the contact person, contact number, and address.
What is the purpose of emergency contact form?
The purpose of emergency contact form is to ensure that in case of emergency, the employee's designated contact person can be reached.
What information must be reported on emergency contact form?
Information such as contact person's name, relationship to the employee, phone number, and address must be reported on emergency contact form.
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