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Emergency contact form

An emergency contact form for staff, students or club members: their own details, two people to call, and optional medical information that would help in an emergency.

Fill it in without an account. Downloading the finished PDF needs a plan, from $4.08 a month. See plans

The emergency contacts template, filled in with example details

What's on it

  • The person's own name, phone and address
  • A first and a second person to call
  • Relationship, two phone numbers, email and address for each
  • Optional allergies, conditions and medication
  • Doctor's details and a signature

One page, US Letter. The picture shows example details; yours opens empty.

Good to know

  • It is a general-purpose form, not legal advice. Rules on what you may ask differ from place to place, so check the ones that apply to you.
  • The medical section is optional. Nobody should be made to fill it in.
  • Completed forms hold private information: store them securely and give them only to people who need them.

How to use it

  1. 1

    Press the button. The template opens in the editor, empty.

  2. 2

    Type into the boxes and tick what applies. Click any wording to change it, and add your logo or signature.

  3. 3

    Download the finished PDF, or save it to your account to reuse.

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