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 template preview
Employee information form page preview
Consent form page preview
Emergency contact 2 form page preview
Emergency contact 3 form page preview
Emergency contact 1 form page preview
Review form page preview
Ending form page preview

Customize in minutes

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

Connect to
notion logo

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

Start from the Employee Emergency Contact Form template or make a form from scratch.
Free for up to 1000 submissions per month.