Product

Product Tour See how FormBuilder works Templates Ready-made form templates Marketplace Expert-made forms and tests Use Cases Forms for every industry Security Enterprise-grade data protection Integrations Connect with your tools Changelog Latest updates and releases
Features

Form Builder
Drag & Drop Builder Form Field Types Multi-Page Forms Conditional Logic Form Embedding

Form Analytics
Submissions Real-Time Submissions Form Analytics Email Notifications Form Scheduling

Themes
Themes White Label Team Collaboration Audit Log Assessment Mode Google Forms Import

All Features See every feature we offer
AI

AI Overview

Our AI-powered features

Cook it AI

Generate forms from text or files

Generate

Pulse AI

AI insights on your form data

Analyze
Solutions

Solutions
Form Builder Build any form from scratch AI Form Builder Generate forms with AI Online Forms Create and share forms online Survey Maker Build surveys and collect feedback Quiz Maker Create graded quizzes and tests Assessment Platform Proctored exams with lockdown Appointment Scheduling Booking forms with calendar

Compare
vs Google Forms vs Typeform vs JotForm vs SurveyMonkey vs Microsoft Forms All Comparisons →
Pricing

Emergency Contact · Popular

Collect Employee Emergency Contact Information Fast

Quickly gather employee emergency contacts and next of kin details with this ready-to-use form template for HR and onboarding teams.

Use This Template Free Preview

Frost theme

formbuilder.ai/f/employee-emergency-contact-next-of-kin-information-form

Employee Emergency Contact & Next of Kin Information Form

Employee Full Name

· · ·

Work Email Address

· · ·

Employee Phone Number

· · ·

Submit

The Employee Emergency Contact & Next of Kin Information Form is designed to help HR teams and managers securely collect critical contact information for every employee. It captures employee details such as name, department, job title, and known medical conditions alongside full primary and secondary emergency contact records.

This template is ideal for businesses of all sizes during employee onboarding or annual HR record updates. With fields for relationship type, multiple phone numbers, email addresses, and home addresses, it ensures your team has everything needed to respond swiftly in any emergency situation.

By digitizing this process, HR departments can eliminate paper forms, centralize records, and ensure data is always up to date. Use this free template to stay compliant, organized, and prepared — giving both employees and management peace of mind.

3 Pages

22 Questions

~7min To complete

Free No credit card needed

Field types Phone ×5 Full Name ×4 Short Text ×4 Dropdown ×3 Email ×2 Address ×2 termsandconditions Signature

Questions in this template

Free template

The exact questions included — customize any of them to fit your needs.

Page 1 Employee Information 7 questions

Employee Details

1 Employee Full Name * Full Name

2 Work Email Address * Email

3 Employee Phone Number * Phone

4 Employee ID / Staff Number * Short Text

5 Department * Short Text

6 Job Title Short Text

7 Known Medical Conditions or Allergies Short Text

Page 2 Emergency Contacts 9 questions

Primary Emergency Contact

Please provide the details of your primary emergency contact. This person will be contacted first in the event of an emergency.

1 Primary Contact Full Name * Full Name

2 Relationship to Employee * Dropdown

3 Primary Contact Phone Number * Phone

4 Alternative Phone Number Phone

5 Primary Contact Email Address Email

6 Primary Contact Home Address Address

Secondary Emergency Contact

Please provide a secondary contact in case the primary contact is unavailable.

7 Secondary Contact Full Name Full Name

8 Relationship to Employee Dropdown

9 Secondary Contact Phone Number Phone

Page 3 Next of Kin Information 6 questions

Next of Kin Details

Your next of kin may differ from your emergency contacts. This information is kept confidential and used only for official purposes.

1 Next of Kin Full Name * Full Name

2 Relationship to Employee * Dropdown

3 Next of Kin Phone Number * Phone

4 Next of Kin Home Address * Address

5 I confirm that the information provided is accurate and I consent to this data being stored securely by my employer for emergency and administrative purposes. I will notify HR promptly of any changes to these details. * termsandconditions

6 Employee Signature * Signature

How to use this template

Click "Use This Template Free" to open it in the FormBuilder editor. From there you can add, remove, or reorder fields with drag-and-drop, switch themes for instant restyling, add your logo, configure email notifications, and set your success message. When ready, publish with a unique link and start collecting responses immediately.