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TEMPLATE · People and HR

Emergency contact

Who to call in an emergency: two contacts, how they are related and the best way to reach them.

Docustay is not for protected health information yet. Do not collect it with this template.

Please tell us who to contact if something happens to you while you are with us. We use these details only in an emergency.

About you

  • Full nametext
  • Emailemail
  • Phonephone, optionalOptional. Used only to reach you about this form.

First contact

  • First contact nametext
  • Relationshiptext
  • Mobile phonephone
  • Other phonephone, optional
  • Emailemail, optional

Second contact

  • Second contact nametext, optional
  • Relationshiptext, optional
  • Phonephone, optional

Anything else

  • Preferred languagetext, optional
  • Notetext, optionalOptional. For example a condition first responders should know about. Do not include medical records.
  • My contacts know that I have given their details for this purpose.tick box

Signature

  • Person signaturesignature
  • Person date signeddate signed

What people see

The template, the way the person you send it to fills it in.

  1. Page 1 of 2 of the Emergency contact template
  2. Page 2 of 2 of the Emergency contact template

Page 1 of 2

Page 1 of 2
Page 1 of 2 of the Emergency contact template

In this template

What is on the page.

  • About you: 3 fields
  • First contact: 5 fields
  • Second contact: 3 fields
  • Anything else: 3 fields
  • Signature: 2 fields

It is your own copy in your workspace. Change any of it before you send.

Send it from code

Send the emergency contact template from your own code.

Make your own copy once, then send it to the person you name. A test key sends only to you.

send-emergency-contact
npx docustay templates customize emergency-contact --name "Emergency contact"
# prints the new template's id; then send it as a test:
npx docustay send --test $DOCUSTAY_TEMPLATE_ID --party 'signer=Name <email>'

What you keep

A sealed copy and its record.

Each person who signs gets the sealed PDF with a certificate of completion, and so do you. Search them in your workspace and read each one by its own record.

Questions

Quick answers.

Who fills it in?

The person you send it to. They are the person in this template: they type their own name and email, fill in each box and sign.

Can I send it to many people at once?

Yes. Send to a list sends your own copy to each person on it, and each person signs their own copy.

Can I change the questions?

Yes. In your workspace it is your own copy: add, remove or reword any field, then send it. The original is never changed.

Can people attach files?

16 fields make up the emergency contact template. Where it has a file box, people may attach a PDF or a picture, and it is stored exactly as they upload it and never converted.

Is this legal advice?

No. The emergency contact template is a starting point in plain words. Change what does not fit before you send it.

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Use this template, free