No Connection

Check your connection and try again

You're looking around a sample roofing company. Open anything; nothing you change is saved. Talk to us

Emergency contacts

Keep current contact details for an emergency.

Send to an employee

The form

What it asks

  1. EmployeeEmployee name · Preferred phone
  2. Primary emergency contactName · Relationship
  3. Alternate emergency contactName · Relationship
  4. ConfirmationI confirm that these details are current and may be used to contact the people listed in an emergency.

Your people

Who has it

Sent to 21 people; 20 complete.

Every new hire gets this with the core onboarding packet.

Blank copies

Print, download or email

A blank PDF to fill in by hand, in English or Español.

Email the English copy
Email the Español copy

Prepared on Oct. 27, 2026.

Read the whole form
Front Range Roofing Co.

1100 Plum Creek Parkway, Suite 210, Castle Rock, CO, 80104

(720) 555-0129 · office@frontrange-roofing.example

https://frontrange-roofing.example

Emergency contacts

Provide contact details so the company knows whom to notify in an emergency. Tell your manager when these details change.

Employee

Employee name

Space to complete on the printed form

Preferred phone

Space to complete on the printed form

Primary emergency contact

Name

Space to complete on the printed form

Relationship

Space to complete on the printed form

Phone

Space to complete on the printed form

Alternate phone

Space to complete on the printed form

Alternate emergency contact

Name

Space to complete on the printed form

Relationship

Space to complete on the printed form

Alternate contact phone

Space to complete on the printed form

Communication or accessibility needs for contacting these people

Space to complete on the printed form

Confirmation

I confirm that these details are current and may be used to contact the people listed in an emergency.

Employee signature

Space to complete on the printed form

Date

Space to complete on the printed form

Received by

Space to complete on the printed form

Date

Space to complete on the printed form