Employee form
Luis Vargas
CompleteEmergency contacts
Emergency contacts
- Contact name
- Martha Vargas
- Relationship
- Father
- Phone
- (720) 555-0167
- Second contact
- Frank Nguyen
- Second contact's phone
- (720) 555-0171
- Anything a first responder should know
- —
- Your preferred phone
- —
- Primary contact's alternate phone
- —
- Second contact's relationship
- Friend
- Communication or accessibility needs
- —
Submission history
- Sept. 21, 2026, 12:45 p.m. · dana.whitfield@frontrange-roofing.example Sept. 21, 2026, 12:45 p.m. · dana.whitfield@frontrange-roofing.example · Approved Download submitted copy