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Emergency Contact Form
Free emergency contact form template for collecting who to reach in a medical or urgent situation.
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This free emergency contact form covers Primary Emergency Contact, Secondary Emergency Contact, Medical Information (optional, if relevant to the setting), Additional Notes with 7 clearly marked [placeholder] fields to fill in — built for small business owners and first-time managers handling an HR moment professionally without a dedicated HR department to lean on. Copy it into your own word processor, fill in the placeholders, and review it — or adapt it — before use. It's part of docstoc's free document template library, alongside business, legal, real estate, finance, and HR templates. Every template here is free to copy with no signup required, and each one carries a plain disclaimer: this is a starting point for informational purposes, not a substitute for advice from a licensed professional in your jurisdiction.
Emergency Contact Form
Name: [Name] · Date: [Date]
Primary Emergency Contact
Name: [Name] · Relationship: [Relationship] Phone: [Phone] · Alternate phone: [Phone]
Secondary Emergency Contact
Name: [Name] · Relationship: [Relationship] Phone: [Phone]
Medical Information (optional, if relevant to the setting)
Known allergies: [List, or "None"] Medical conditions: [List, or "None"] Physician: [Name, Phone]
Additional Notes
[Anything else relevant in an emergency]
Signature: ______________________ Date: ____________
*Update these forms at least annually — outdated emergency contact information is only discovered to be wrong at the worst possible moment.*
Edit directly in the box above. Download PDF anytime — the docstoc.io footer is always included and cannot be removed.
What's included
- Edit online — click the document, fill in placeholders, download a PDF
- 4 standard sections: Primary Emergency Contact, Secondary Emergency Contact, Medical Information (optional, if relevant to the setting), Additional Notes
- 7 clearly marked [placeholder] fields for quick personalizing
- Free to use — no account or signup required
- Fully editable — adjust any clause to match your actual situation
- Includes a signature block, ready to print or sign digitally
- Fixed docstoc.io footer on every PDF (not removable)
Who this template is for
Freelancers & solo founders
Handling routine business paperwork without commissioning custom legal drafting for every document.
Small businesses
Standardizing recurring documents — leases, agreements, notices — across a growing operation.
Anyone reviewing before signing
Using a clear starting structure to understand what a document should cover, even if a lawyer finalizes it.
Growing teams
Formalizing hiring and performance processes as a company adds its first employees.
FAQ
Is this emergency contact form template really free?
Yes. Like every template in docstoc's library, this emergency contact form is free to use, with no account or signup needed to view, edit, or download it.
What does this emergency contact form cover?
This hr template includes Primary Emergency Contact, Secondary Emergency Contact, Medical Information (optional, if relevant to the setting), Additional Notes. Fill in the [bracketed] placeholders, edit any clause online, then download a PDF — the docstoc.io footer stays on every export.
Is this legal advice?
No. Employment documents sit on top of a mix of federal, state, and sometimes city labor law — at-will employment rules, required notices, and what you can and can't put in writing all vary. Have an employment attorney or HR professional confirm this fits your jurisdiction before you use it.
Can I edit the wording?
Yes — edit directly on the page, adjust any section or clause, and re-fill the 7 placeholder fields to match your situation before downloading a PDF. It's a starting structure, not a rigid script.
Where can I find more free templates like this?
Browse more free hr and related document templates in the docstoc library at /document-templates/.
More free document templates
- Employee Offer Letter
- Employee Written Warning / Disciplinary Notice
- Employment Agreement
- Cover Letter
- Employee Handbook Outline
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Why use this instead of a generic template
Security
Served over SSL from Cloudflare's edge network — no ad trackers, no third-party scripts on template pages.
Legality
Templates are drafted for general use, not a substitute for legal advice — check the note on each page for specifics.
Privacy
No account or signup needed to copy a template — nothing you type here is stored unless you choose to sign up.
Speed
Copy the subject and body directly — no form to fill in, no export step, no waiting on a download link.
Mobile-friendly
Every template page works the same on a phone as a desktop — copy on the go, no app required.
API available
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