1. Import into your account
View this sample employee emergency contact form and click on “Use template” after making sure this is what you are looking for.
An employee emergency contact form is a document used by employers to collect essential emergency contact information and medical information in case of an emergency or workplace accidents. This employee emergency contact form offers you all the fundamental questions and fields you will need:
Form questions will collect information about:
Fields and features we thoughtfully included, such as:
An employee emergency contact form becomes powerful when it goes beyond basic information and:
Yes, you can integrate this employee emergency contact form with 500+ apps. To do this, simply select the app you want to integrate your form with, and then click on “Connect to Zapier” or choose other apps you’d like. Finally, you’ll see some easy-to-follow instructions to create an account and set up the integration.
Yes. This employee emergency form template is totally free to use, along with other free templates on forms.app.
Yes. You can easily add a welcome page and customize it in a way you like. With a welcome page, you can easily include images and explanations that provide context about why you created this form, outline the steps users should follow, and give additional information.
Follow the three easy steps below to start collecting and organizing essential contact information to ensure quick communication in case of an emergency.
View this sample employee emergency contact form and click on “Use template” after making sure this is what you are looking for.
Add or remove questions through forms.app's drag-and-drop interface and match your brand style.
Embed it on your website in 6 different ways or share your form across all social media channels.
Looking for something else? Explore similar form templates below, or browse our extensive collection of free templates on the templates page.
Let us know how you would like to have a custom intake form tailored to your specific needs. forms.app’s free AI form creator will create a free template for you in seconds.
Create your employee emergency contact form with powerful features and make the intake process simple and clear for everyone.
Collect fundamental contact details of their family members or friends, such as name, email, phone number, and address, easily.
Allow employees to provide additional notes, such as personal information, medical conditions, through text, masked, or open fields.
Enable your employees to attach relevant medical documents in any format.
Show relevant questions based on the answers to have more extensive details, or just hide irrelevant ones.
Add your company logo or cover image to reflect a more professional image.
Add a legal field so employees can provide valid consent. Include a Terms & Conditions statement (e.g., “By signing, you agree to our company policies and terms.”)


