Employee form
Maria Reyes
CompleteEmergency contacts
Emergency contacts
- Contact name
- Teresa Reyes
- Relationship
- Mother
- Phone
- (719) 555-0101
- Second contact
- Gloria Ruiz
- Second contact's phone
- (719) 555-0185
- Anything a first responder should know
- Type 1 diabetic; glucose tabs in her lunch bag.
- Your preferred phone
- —
- Primary contact's alternate phone
- —
- Second contact's relationship
- Friend
- Communication or accessibility needs
- —
Submission history
- Sept. 21, 2026, 10:15 a.m. · dana.whitfield@frontrange-roofing.example Sept. 21, 2026, 10:15 a.m. · dana.whitfield@frontrange-roofing.example · Approved Download submitted copy