Employee form
Ava Bennett
CompleteEmergency contacts
Emergency contacts
- Contact name
- Teresa Bennett
- Relationship
- Father
- Phone
- (719) 555-0102
- Second contact
- Martha Ruiz
- Second contact's phone
- (720) 555-0156
- Anything a first responder should know
- Allergic to bee stings; carries an EpiPen in his truck.
- Your preferred phone
- —
- Primary contact's alternate phone
- —
- Second contact's relationship
- Friend
- Communication or accessibility needs
- —
Submission history
- Sept. 22, 2026, 11:05 a.m. · dana.whitfield@frontrange-roofing.example Sept. 22, 2026, 11:05 a.m. · dana.whitfield@frontrange-roofing.example · Approved Download submitted copy