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How to use or fill out Emergency Contact and Insurance Form - Wallace State Community
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Click ‘Get Form’ to open it in the editor.
Begin by entering your name, date of birth, and Social Security Number in the designated fields. Ensure accuracy as this information is crucial for identification.
Fill in the Parent/Guardian Name and specify the sport(s) you are involved in for the academic year 2007-2008.
Provide your complete address along with your cell phone, home phone, and work phone numbers to ensure reliable contact.
In the insurance section, enter the Policy Holder's name, relationship to you, and their contact details. This information is vital for any medical emergencies.
Complete the insurance company details including name, address, group number, and ID number. Also include effective and expiration dates of the policy.
Indicate whether the policy covers athletically-related injuries and provide details about your primary physician and their office number.
Finally, ensure both you and your parent/guardian sign and date the form before submission to validate it.
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An employee emergency contact form is an onboarding document that employees can fill out to provide you with their emergency contact information. They can also provide any other information that they think you might need to know in case of an emergency, such as food allergies or allergies to any medications.
What is considered an emergency contact?
An emergency contact is the first person medical personnel will get in touch with in an emergency, but your emergency contact may not have the legal authority to act on your behalf unless you explicitly provide that power.
How do I ask employees to update their emergency contact information?
Best Practices The start of a new year or new quarter is an excellent time to remind everyone to revisit his or her emergency contacts. Make emergency contact and beneficiary designation forms part of a new hire packet or checklist to make sure all new employees are captured throughout the year.
Why do employers ask for an emergency contact?
The point of an Emergency Contact is to provide basic medical information in the case of a medical emergency.
What is an emergency contact form?
An employee emergency contact form is a document that lists an employees family members or friends to be contacted in the event of a workplace accident or injury. It is commonly required during the hiring process and should be updated at least once a year.
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