What Information Should Be on an Emergency Contact Form?


Published: | By Mick Essex

Everywhere from offices to schools and daycare centers, having an emergency contact form is crucial. It helps handle urgent situations smoothly. Let's learn how to create one for your needs.

I have many years of experience in healthcare and insurance, and one important thing we always did was keep updated emergency contact forms for everyone.

This article will help you quickly learn how to be ready for emergencies at your workplace. It's important to be prepared for any unexpected events.


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What is an Emergency Contact Form?

An emergency contact form is a paper that collects important details about people in your organization just in case there’s an emergency.

It usually has contact information for close family or friends who can be called upon to make decisions if the individual can't.

This form is vital in emergencies that need quick medical help or when important decisions need to be made about someone's responsibilities.

Why You Need an Emergency Contact Form for Your Business

In 2021, there were 139.8 million visits to emergency rooms in the US, and 40 million of these were because of injuries.

For companies, an emergency contact form is a key part of keeping everyone safe and managing risks.

It also makes sure you can quickly contact a family member or caregiver who can make urgent decisions if someone is unable to.

It also helps manage emergencies better, whether they are medical problems, natural disasters, or other critical situations.

Steps to Create an Emergency Contact Form

  1. Create your emergency contact form
  2. Choose a template style that fits your brand.
  3. Add fields that are important for your business or institution (like name, phone number, medical details).
  4. Set how you want to be notified when the form is filled out.
  5. Connect the form to apps like Google Sheets or Mailchimp, or print it out.
  6. Decide how to share your form online.

You can set up your form easily without needing to know how to code or hiring someone. You can even put it on your website by yourself quickly! For more help, check our Help Center.

Types of Emergency Contact Forms

  • For students
  • For employees
  • For childcare

While I'll focus on these three, the same steps apply to most other situations.

Emergency Contact Form for Students

emergency-contact-form-for-students

A student's emergency contact form collects crucial info to keep them safe during school emergencies. It should include:

  • Parent or guardian’s names, phone numbers, emails, and maybe social media.
  • Doctor’s name and contact info.
  • If needed, legal representative’s contact details.
  • Signature and date.

Schools can react quickly and communicate well in emergencies with these forms. Always give a copy to the parent or guardian and the student.

Create your own emergency contact form 

Emergency Contact Form for Employees

emergency-contact-form-for-employees

It's vital for workplace safety to have updated emergency contact forms for employees, which should include:

  • Primary and secondary contact names and how to reach them.
  • Any allergies, health conditions, and details about their doctor and preferred medical facilities.
  • Signature and date.

These forms help protect both the employee and the company when emergencies happen. Always give a copy to the employee.

Create your own emergency contact form 

Emergency Contact Form for Childcare

emergency-contact-form-for-childcare

In daycare, emergency contact forms are essential for quickly handling any urgent situations with kids. Make sure to include:

    • Parent or guardian’s full names, how they are related to the child, and their contact info.
    • Pediatrician’s name and number for emergencies.
    • Names and contacts of authorized people who can pick up the child.
    • Signature and date.

These forms make sure caregivers can quickly get the information they need in emergencies. Always give a copy to the parent or guardian.

Create your own emergency contact form 

Conclusion

Emergency contact forms are an important part of safety plans in many places.

They help ensure that organizations can act quickly and correctly in emergencies. By keeping these forms up-to-date and detailed, institutions can be well-prepared for any crisis.


Author Bio

Hey, it's Mick and I'm the Head of Growth and Partnerships at POWR. My career spans two decades, primarily marketing in the healthcare space, with stints in broadcast television, advertising and copy editing. 

I went to the College of Journalism at the University of Louisiana - Monroe and a storyteller at my core. My wife Elizabeth, son Gavin, and pup Jolene currently call Lafayette, Louisiana home.

Follow me on LinkedIn.

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