In the event that an employee falls ill while at work and can’t drive themselves home, or if they are absent from work for several days, it’s crucial to have a plan in place for who to contact. One effective method of ensuring that you have the necessary information is by creating an employee emergency contact form. This form will help you to collect the contact information of your employee’s family member or a friend and control the situation in a more convenient way.

In this article will provide you with step-by-step guidance on how to create an employee emergency form using the LiveForms plugin.

What is Employee Emergency Form?

An Employee Emergency Contact Form is a document that employers use to collect emergency contact information for their employees. It typically includes the name and phone number of a person who employers can contact in case of an emergency, as well as any relevant medical information or special instructions.

The purpose of the form is to ensure that employers have a way to quickly contact someone close to the employee in case of an emergency, such as a workplace accident or a medical emergency. This information can be critical in ensuring that the employee receives prompt medical attention or other necessary support.

Employers may also use the information collected on the form to contact an employee’s emergency contact in case the employee is unable to communicate, such as during a natural disaster or other emergency situation. Overall, an emergency employee contact form is an important document that helps employers ensure the safety and well-being of their employees.

Why Use an Employee Emergency Contact Form?

An emergency contact form for employees is a useful tool for employers to have on file for each of their employees. The purpose of this form is to collect contact information for the employee’s designated emergency contact in case of an emergency situation that may occur during work hours.

There are several reasons why employers use an Employee Emergency Contact Form, including:

Contact in case of an emergency: If an employee becomes ill or injured while at work, it’s important to have contact information for someone who employers can reach in case of an emergency.

Notification in case of an emergency: In the event of a workplace emergency, such as a natural disaster or security breach, the emergency contact may need to be notified of the employee’s status or whereabouts.

Authorization for emergency medical treatment: In some cases, the emergency contact may need to provide consent for emergency medical treatment if the employee is unable to do so themselves.

Employee well-being: Collecting emergency contact information shows that an employer cares about the well-being of their employees and is prepared to take action in case of an emergency.

What to Ask for on an Employee Emergency Contact Form?

An emergency contact form for employees typically includes several fields that employers should ask for in order to effectively contact an employee’s emergency contact in case of an emergency. Some of the information that an emergency employee contact form should include are:

  • Employee Information: This includes the employee’s full name, employee ID number, job title, department, and work location.
  • Emergency Contact Name: This includes the full name of the emergency contact person, their relationship to the employee (such as spouse, parent, or sibling), and their contact information.
  • Phone Numbers: The employee’s primary phone number, as well as the emergency contact’s phone number should be included. It’s also a good idea to include an alternate phone number for the emergency contact, in case the primary number is not reachable.
  • Address: The address of the emergency contact should be included, in case a notification or information needs to be sent.

Why We will use LiveForms?

To build the form we’ll use the WordPress LiveForms plugin. Because using live forms for building forms offers several benefits over traditional form-building methods. With live forms, you can see how your form will look and function in real time. As you make changes to your form, you can instantly see how those changes will affect its appearance and usability. It also comes with pre-built Contact form template and drag-and-drop functionality, making it easy to customize your form without needing extensive coding skills. This can save you time and effort, especially if you need to create forms frequently.

How to Create an Employee Emergency Contact Form:

To start creating an employee emergency contact form, first, you need to install and activate Live Foms.

LiveForms wordpress plugin

Upon activation of the plugin, you will see the “Forms” menu on the admin menu bar. Go to “Forms >> Add New”, where you will see ready-to-use form templates like login form, contact form, donation form, and support form.  Now, click on the “Start Form Ground” option.

emergency contact form

Once you click, you will be redirected to the form builder page. Enter the form name first. Now on the form builder page, you’ll see three types of form fields section.

employee emergency contact form

 Drag & drop the form fields you need for your employee emergency contact form.

placing form fields

Live Forms offer multiple options for setting form fields. To go to the form field settings option, hover over the form field and you’ll see the “Settings” button on the right side of the form field.

emergency contact form template for employees

There you’ll see multiple settings option including Label, Placeholder text, Note, Conditional Logic, etc.

emergency employee contact form

After completing the form building you can customize the form submission button. You can also configure the settings for your form, such as who should receive notifications when the form is submitted and what should happen after the form is submitted.

Once you are done click the “Save Form” button on the upper right corner of the form.

To publish the form click on the “Embed” button and copy the shortcode.

emergency contact form for employees

Now, paste the shortcode on the page and publish it. And here your form is ready.

employee emergency contact form


Overall, an Employee Emergency Contact Form is a simple but important tool that employers can use to help ensure the safety and well-being of their employees. It’s also important for employers to keep this information up-to-date and secure, and to only use it for emergency purposes.

Hope this tutorial helped you to build an employee emergency form using the Live Forms plugin.  For more WordPress tips and tricks check our previous articles and keep your eyes on our site for new articles.

For some support for creating simple and personalized forms, feel free to comment below. We appreciate further comments, support, or suggestions!

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