Personal Information and Emergency Contact Form - UT System 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out the MEMBER INFORMATION section. Enter your Last Name, First Name, and Employee ID/Benefits ID (BID). Ensure accuracy as this information is crucial for identification.
  3. Continue with your address details. Fill in your Street Address, Apt., Floor, Unit, City, State, and Zip Code. This ensures that your contact information is up-to-date.
  4. Provide your Home Phone and Cell Phone numbers in the specified format (XXX) XXX-XXXX. Additionally, enter your Email Address for electronic communication.
  5. Indicate whether you would like to be contacted by email by selecting 'Yes' or 'No'.
  6. Move on to EMERGENCY CONTACT #1. Fill in the contact's Name, Email, Home Phone, Street Address, Cell Phone, City, Relationship, State, and Zip Code.
  7. Repeat the process for EMERGENCY CONTACT #2 using the same fields as above.

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Admissions Counselors are available via phone between 8:30 a.m. and 4 p.m. CT Monday through Friday at 512-475-7399 or via email at admissions@austin.utexas.edu. *International students or students applying for graduate programs should contact the Graduate and International Admissions Center.
To speak to an admissions counselor, use our Counselor Finder tool to identify the admissions professional who serves students in your area. Our admissions counselors are available by appointment or via phone Monday through Friday between 8:30 a.m. and 4 p.m. CT at 512-475-7399.
Direct questions about tuition bills to Tuition and Fee Billing, MAI 4, (512) 475-7777.
Admissions Information Admissions address:PO Box 8058 Austin, TX 78713-8058 Phone number: (512) 475-7399 Fax number: (512) 475-7478 Admissions Website: .utexas.edu Email: askadmit@uts.cc.utexas.edu3 more rows

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People also ask

An employee emergency contact form is a document that employees fill out as part of their employment paperwork. This form typically includes information about who should be contacted in the event of an emergency involving the employee.

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