Emergency Notification Information CDF 31 - Santa Cruz County Fire 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Section A: Employee Information. Fill in your name, title, date, home address, city/state/zip code, home phone, work location/unit, and work phone. Ensure all details are accurate for effective communication.
3. Move to Section B: Person to Notify in Case of Injury or Illness. Provide the names and contact information for your first and second choices for notification. This ensures that someone is reachable in case of an emergency.
4. In Section C: Physician Designation, indicate your preferred physician for work-related injuries or illnesses. Include their name, phone number, and address. If you have a non-work-related preference, specify that as well.
5. Complete Section D: Voluntary Medical Information by answering whether you wear contact lenses and if there are any medical conditions that should be noted. Provide any special instructions if necessary.
6. Finally, sign and date the form at the bottom to authorize the release of this information in case of a medical emergency.

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