This Personnel Emergency Record Form could be used for countless different scenarios…doctor’s offices, sports teams, schools, daycares and so on and so on!
Practically any professional company can benefit from a form such as this one.
Emergency contact information is a must have when employing workers, not matter the danger level of the profession.
While this form isn’t very elaborate, it doesn’t really need to be!
It has a space for all of the important details.
If by chance there is something else you’d like to include, simply add an additional space – easy as 1, 2 , 3!
Once you’ve tailored this form to meet your exact needs, print out a bunch of copies and hand one out to each person on your list.
PERSONNEL EMERGENCY RECORD
Name_______________________________ Soc. Sec. No. ___________
Address____________________________ Dr. Lic. No. ____________
In Emergency Notify________________ Relationship_____________
Medication Currently Taking___________________________________
This form has been completed on [date]