Employee emergency contact form template
Two emergency contacts and consent to use them, collected once and updated annually.
4 questions · about 2 minutes to complete · free on every plan
Free account required. The template is copied into your workspace; edit anything before publishing.
- When to use it
- At onboarding and in an annual refresh.
- Who it is for
- All employees.
How to use this template
- Send the new-hire form before day one so accounts and payroll are ready.
- Collect only what HR needs; keep sensitive details out of general forms.
- Export to your HR system or spreadsheet weekly.
Questions in the employee emergency contact form template
1. Your details
contact info
2. Primary emergency contact: name, relationship, phone
open text
3. Secondary emergency contact: name, relationship, phone
open text
4. I consent to these contacts being used in an emergency
single choice · I consent, I do not consent
What the results look like
IllustrativeSynthetic sample of 120 responses generated for this preview, not real survey data. Your results page shows the same charts for your own responses.
1.I consent to these contacts being used in an emergency
120 answered| Answer | Count | Percent |
|---|---|---|
| I consent | 93 | 78% |
| I do not consent | 27 | 23% |
How to read these questions
- single choice: Read the share choosing each option, then cross-tab by a segment question to see who differs.
Frequently asked questions
Is it safe to collect employee details in a form?
For names, contact details and preferences, yes: responses are encrypted at rest and only workspace members can see them. Keep government ID and bank details out of general forms.
How long does the employee emergency contact form take to complete?
About 2 minutes: 4 questions, most of them single-tap. Every question can be edited, removed or reordered in the builder before you publish.
Is this template free to use?
Yes. Every template is included on the Free plan. Sign up, click Use this template, and it is copied into your workspace where you can edit it, add your logo and share it by link, email or embed.
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