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Emergency Contact Form
Collect emergency contacts from employees, a team, a class or a club: two people to call, each with a relationship and a checked phone number, plus optional medical notes, in one list.
No sign-up to try · Unlimited responses on the free plan
Printable sheet (PDF)Live preview
Emergency Contact Form
Please share emergency contact details so we can reach someone if we ever need to.
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Sample questions
What people answer. Every question is editable.
6 questions · ~2 min
Q01
Short TextRequired
What's your full name?
Q02
Short Text
What's your team, class or department?
Q03
Contact formRequired
First emergency contact
Q04
Contact form
Second emergency contact (optional)
Q05
Long Text
Any medical conditions, allergies or medications we should know about?
Q06
ConsentRequired
Sharing these details
What’s included
No account for guests
Send one link by text, email or group chat. People answer in their phone’s browser, with no app to download and no account to create.
Every answer in one table
Every response lands in one table you can export to Excel or CSV.
Free, unlimited responses
The Free plan takes as many responses as you get, with no credit card.
How it compares
We reviewed the closest templates from other survey tools. Here’s what they do well — and where this template goes further.
Why this template
- Two contacts, each with a name, relationship and phone number in its own field, so the list is ready to call from
- Medical notes stay optional, and everyone agrees to how the details are shared
- Free with no account, and every contact lands in one list you can export
Fillout
Employee Emergency Contact FormA multi-page form: employee details, a consent page, three contact pages and a review page.
What it does well
- Room for three contacts
- A review page before submitting
Where it falls short
- Six pages for a short form
Jotform
Emergency Contact Authorization FormPrimary and secondary contacts, relationship and consent to share; school versions add allergies.
What it does well
- Consent to share is built in
Where it falls short
- The free plan allows 100 submissions a month
Creately
Employee Emergency Contact Form TemplateA printable layout with primary and secondary contacts and medical notes.
What it does well
- Clear printable layout
Where it falls short
- A document to fill in, not a form people answer from a link
Frequently asked questions
What questions are in the “Emergency Contact Form” template?
The template includes 6 ready-to-use questions, starting with: “What's your full name?” · “What's your team, class or department?” · “First emergency contact”. The full set is previewed above, and every question is editable.
Do guests need an account?
No. Guests open the link in any phone or computer browser and answer, with no app and no account.
Can I change the questions?
Yes. Every question and answer option is editable.
Is it free?
Yes. The Free plan takes unlimited responses and needs no credit card.
Ready to send it?
Open the template, change what you need, and share one link with everyone.
Related templates
More sign-ups and forms for groups.
