Employee Emergency Contact Form
An employee emergency contact form is a brief document that collects important contact information and medical details for employees and their emergency contacts. It ensures we have up-to-date information to contact employees' close contacts in case of an emergency and provides critical medical information to first responders.
Use this free form template to collect emergency contact information.

Employee Emergency Contact Form







Customize in minutes
Drag and drop 40+ customizable question types to make this template your own.
Scheduling
Calendly, Chili Piper, cal.com
Social security input
Securely collect PII
E-signatures
Legally binding signatures
Mailing addess input
Autocomplete with the Google Maps API
Collect phone numbers
Domestic or international
Captcha
Verify human respondents
Connect to
Notion

Send responses wherever you need them, in 60 seconds:
1Clone this template.
2Connect your integration in Fillout.
3Share a link or embed forms anywhere ⚡️
Template FAQs
Related templates
Make your first form in minutes