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Employee Emergency Contact Form PDF template

Who to call if a member of staff is hurt or taken ill at work: a name, how they know each other, and two numbers that still work. Refresh the whole team in one pass.

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Free to start. You get an editable copy — add or move fields, then share the link. Or download the blank PDF to print and fill in by hand.

Fields included

  • Employee name
  • Department or team
  • Contact name
  • Relationship to employee
  • Contact phone
  • Alternate phone

How to use this template

  1. 1 Click "Use this template" to get your own editable copy.
  2. 2 Adjust the fields — add, remove, or move them to fit your needs.
  3. 3 Publish and share the link. Each response comes back as a completed PDF.
Employee Emergency Contact Form template preview

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