EMPLOYEE AND EMERGENCY CONTACT FORM - ci kenai ak 2026

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'Employee' section with your name and 'Department' to identify your workplace.
In the 'Personal Contact Info' section, provide your home address, city, state, ZIP code, home telephone number, and cell phone number. This ensures that you can be reached easily.
Next, move to the 'Emergency Contact Info' section. Here, list two emergency contacts. For each contact, include their name, relationship to you, address, city, state, ZIP code, home telephone number, cell phone number, work telephone number, and employer details.
Fill in the 'Medical Contact Info' by providing your doctor's and dentist's names along with their phone numbers for any medical emergencies.
Finally, review all information for accuracy before signing and dating the form at the bottom. This confirms that you authorize the City of Kenai to contact your listed individuals in case of an emergency.

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