# Emergency Contact Form Template

> A free emergency contact form for employees, students and members. Collect two contacts with phone numbers and keep them on file in one place.

Collect each person's emergency contacts with their relationship and phone numbers, plus any medical notes first responders should know. Staff can update their details any time.

Canonical: https://reuily.com/templates/emergency-contact-form
Use this template: https://reuily.com/form/from-template/emergency-contact-form
Collections: Applications & HR, Human Resources, Operations
Last updated: 2026-10-15

## Questions

- Question 1: What's your full name? (Short Text, required)
- Question 2: What's your email address? (Email, required)
- Question 3: Who is your main emergency contact? (Short Text, required)
- Question 4: How are they related to you? (Single Choice, required). Options: Partner or spouse; Parent; Sibling; Friend; Other
- Question 5: What's their phone number? (Phone, required)
- Question 6: Who is your second emergency contact? (Short Text, optional)
- Question 7: What's your second contact's phone number? (Phone, optional)
- Question 8: Is there any medical information first responders should know? (Long Text, optional)

## Common uses

- New hire onboarding
- Schools, camps, and clubs
- Gyms and membership programs

## Key features

- Two contacts per person
- Relationship and phone checks
- Optional medical notes

## Frequently asked questions

### What does the Emergency Contact Form collect?

The person's name and email, a main contact with their relationship and phone number, an optional second contact, and any medical notes first responders should know.

### How do I keep emergency contacts up to date?

Send the link once a year or whenever details change. Each response is saved with the date, so the newest one is easy to find.

### Who can use this form?

Employers, schools, camps, gyms, and clubs that need someone to call in an emergency.