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Emergency Contact Form Listing Both Parents' Information

Keep Your Emergency Information Up-to-Date

By , About.com Guide

Use an emergency contact form like this one and keep it up-to-date.

Keep your emergency contact form up-to-date so you can be reached any time, 24/7.

© Jennifer Wolf, licensed to About.com

In an emergency, contact is paramount. Make sure that your kids, and any other adults caring for them, can reach you at any time. Fill out this free emergency contact form with up-to-date information, and distribute copies to all of your children's caregivers and extended family members. Don't forget to post a copy at home in a prominent location, such as your refrigerator!

Related: Print your copy of this form | Print a medical release form

This Printable Contact Form Includes:

  • Full contact information for both parents

  • Your child's physician and dentist

  • Up to three additional contacts

  • Space for recording your family's visitation and work schedules

Note: The form is in PDF format. You can download Adobe Acrobat Reader if your computer is not configured to read PDF documents.

Emergency Contact Information FAQ

Do I really need to use a form like this?
Yes. Unless you're with your kids 24/7, you should keep an up-to-date version of this emergency contact form information on hand so that you can be reached in the event of an emergency.

Who should have a copy of the form?
Anyone and everyone who cares for your kids in your absence. This may include babysitters, neighbors, school/daycare personnel, and more.

Do I need to have the form notarized?
No. Your form does not need to be notarized because you're not using it to communicate your consent for medical treatment, as you would with a medical release form.

Do my ex and I have to agree about what's listed on this form?
No. The form lists each of your phone numbers, information about parenting time schedules, and the phone numbers for your kids' pediatrician, dentist, and school/child care.

How many phone numbers do I need to include?
You should include all of the numbers where both parents can be reached. Generally, this would include your home, work, and cell phone numbers. There is also room on the form for including additional phone numbers, such as the friends and neighbors you rely on in an emergency.

How often should I update my emergency contact form?
Review your emergency contact form least once a year and update it any time the information changes. For example, if your ex gets a new job, print new copies of the form so that you can update his contact information accordingly.

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