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Employee Emergency Contact Form Template

Employee Emergency Contact Form Template

An Employee Emergency Contact Form collects essential contact details in case of an emergency. This form includes fields for employee name, primary and secondary emergency contacts, relationship and phone numbers. It also contains optional fields for medical conditions and allergies relevant to emergency care.

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Employee Emergency Contact Form with sections for contact names, relationships, phone numbers, optional medical information and employee signature

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Used 154 times

Frequently asked questions

An Employee Emergency Contact Form is a document used by employers to record emergency contact information for employees. It helps ensure that the right person can be contacted quickly in case of a medical or workplace emergency. The contact form includes optional fields for medical conditions or allergies, two emergency contacts, their relationship to the employee and how to reach them.
The employee fills in the contact names, phone numbers and any relevant medical alerts, then signs and submits it to the HR department.
Submit the Employee Emergency Contact Form to your company’s Human Resources or administrative office. It is stored in your personnel file for emergency use.

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