HR template · 12 fields (7 required) · ~3 min for respondents to complete · Free plan · No credit card · Fully customizable
Set up your emergency contact form
Tell us who to contact in an emergency.
Ask people to update this whenever their details change and review it once a year. Store responses where only authorized staff can see them.
The form separates your phone number, department or team (optional), primary emergency contact name, relationship to you into labeled questions. Review the choices and required fields for your organization before sharing it.
Best practices
Ask people to update this whenever their details change and review it once a year. Store responses where only authorized staff can see them.
Customize the your phone number and department or team (optional) questions to match your records and terminology.
Name the team that reviews responses and explain what happens after submission. A requested date, service or approval is not automatically confirmed.
Ask only for information needed for this step. Arrange any sensitive supporting documents through an appropriate private process.
Every field, explained
Your full name (Name, required)
Email address (Email, required)
Your phone number (Phone, required)
Department or team (optional) (Short text)
Primary emergency contact name (Short text, required)
Relationship to you (Dropdown, required)
Primary contact phone (Phone, required)
Secondary emergency contact name (optional) (Short text)
Medical conditions or allergies (optional) (Long text) — Anything first responders should know, such as allergies, medications or conditions.
Confirmation (Multiple choice, required)
Frequently asked questions
What does this emergency contact form template collect?
Alongside contact details, it asks for your phone number, department or team (optional), primary emergency contact name, relationship to you, primary contact phone, secondary emergency contact name (optional), secondary contact relationship (optional), secondary contact phone (optional), medical conditions or allergies (optional), confirmation. You can rename questions, change choices and remove fields that your workflow does not need.
How should I use this emergency contact form form?
Ask people to update this whenever their details change and review it once a year. Store responses where only authorized staff can see them.
Can I edit this form and print a copy?
Yes. Open an editable draft, adjust the questions, and review the preview before publishing. You can also use the template page’s print option. Publishing requires an account; the draft can be tried first.