Collect Residence Hall Emergency & Missing Person Contacts

The College Residence Hall Student Emergency Contact & Missing Person Notification Form gives housing offices a simple, reliable way to gather critical contact details before an emergency happens. Students provide their full name, student ID number, university email, mobile phone, residence hall, and room number. They then list a primary emergency contact with relationship, phone, and email, plus a secondary contact as a backup.

A dedicated missing person notification section is written around the federal Higher Education Opportunity Act. It explains that campus residents may register a confidential contact to be notified within 24 hours if they are determined to be missing. It also states that local law enforcement will be notified regardless of their choice, and that confidential contact details are accessible only to authorized campus officials and may be disclosed only to law enforcement during a missing person investigation. Students indicate whether they are under 18 and not an emancipated minor, in which case a custodial parent or guardian will also be notified. They then choose who should be confidentially contacted and add a separate confidential contact if needed.

This template is designed for residence life departments, campus housing administrators, student affairs teams, and public safety offices at colleges and universities. It replaces paper cards and scattered spreadsheets with organized, searchable submissions. Share it during move-in, housing check-in, or at the start of each semester, and customize the fields, wording, and branding to match your institution's policies. Keeping accurate, up-to-date contacts on file helps your staff respond quickly and confidently whenever a student's safety is in question.