Emergency contact form template
Who to call, and what responders should know, on one page.
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How to make a emergency contact form
- 1
Check the questions: rename, add or delete any field, or change how it’s answered.
- 2
Add your organisation’s name, a contact line and your logo if you like.
- 3
Choose fillable PDF, printable PDF, Word or HTML, and the paper size.
- 4
Download the emergency contact form and share it, print it or add it to your website.
About this emergency contact form
An emergency contact form lists the people to call if something happens to you, in order, with their relationship and phone numbers, plus the few medical facts responders need: blood group, conditions, allergies, medication and your doctor. Gyms, clubs, landlords, schools and employers ask for one, and it’s worth keeping in your wallet or travel bag too.
Employers and schools have dedicated versions; this one is for personal use and any organisation.
What’s on the emergency contact form
The template has 4 sections and 11 questions. Every one can be renamed, moved or deleted.
- Your details: Full name; Date of birth; Phone; Address
- Emergency contacts (call in this order): Contacts table (Name, Relationship, Mobile, Other phone)
- Medical: Blood group; Doctor’s name and phone; Medical conditions; Allergies; Medications
- Signature: Signature with date
Tips
- Tell your contacts they’re listed, and make sure they know your key medical facts.
- Pick at least one contact who lives nearby.
- Set an ICE (In Case of Emergency) contact on your phone’s lock screen too.
Four ways to save it
A fillable PDF has typing boxes, tick boxes and choices built in. A printable PDF gives clean boxes and writing lines for pen and paper. The Word file can be edited further, and the HTML code adds the same questions to a website. Browse more form templates, or design a completely different layout in the custom form builder.
Frequently asked questions
How many emergency contacts should I list?
At least two, ideally three, so someone can always be reached.
What is ICE?
“In Case of Emergency”: responders look for ICE contacts. Most phones can show emergency contacts and medical information on the lock screen.
Can people fill in this emergency contact form on a phone?
Yes. Choose “Fillable PDF” and send the file. It opens in the Files or Drive app on Android, Files on iPhone, and any browser on a computer, where people can type their answers and save the result.
Can I put the emergency contact form on my website?
Yes. Choose “HTML” to copy ready-made form code with labels and a simple style. Set the form’s action to the address that should receive submissions, such as your own form handler.
Is anything I type sent to a server?
No. The editor runs in your browser and builds the file on your device. Atifo has no server that could receive your form or the answers on it.
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