Corporate Retreat Travel Emergency Contact Sheet

Personal Information

Employee Name
Department
Mobile Number
Retreat Location
Retreat Dates

Primary Emergency Contact

Contact Name
Relation
Phone Number
Alternate Phone

Secondary Emergency Contact

Contact Name
Relation
Phone Number

Medical and Travel Details

Allergies / Medical Conditions
Current Medications
Health Insurance Provider
Insurance Policy #

Local Emergency Services

Service Contact Number Address / Notes
Nearest Hospital
Local Police (Non-Emergency)
Fire Department

Retreat Coordinator

Name
Phone Number
Email