HTML Preview Interactive Employee Emergency Notification Form page number 1.
The SF State Emergency Notification System is designed to notify you as soon as possible about a campus
emergency via phone and e-mail. The information you provide will only be used in the event of an emergency
or an occasional test of the system. The system also allows you to optionally identify an emergency contact
to be used by the University.
The University is not responsible for any charges you incur from sending or receiving calls/messages on your devices via
the SF State Emergency Notification System.
Please return this form to Human Resources, ADM 252
Emergency Notification Form
*Employee Name:
Enter your phone numbers:
Enter your secondary e-mail address (non-sfsu.edu):
E-mail Address
**Phone types: Direct Campus Line, Direct Campus TTY, Cellular, Cellular TTY, Cellular Text, Dormitory, Home,
Home TTY, Other, Pager 1, Pager 2
***Relationship: Child, Domestic Partner, Friend, Other, Parent, Relative, Spouse
Thank you for taking this step to help
the University communicate with you in case of an emergency
*Employee ID:
*Department:
*Required information
Phone Number (Include Area Code)
**Phone Type
Example: 415-338-1111
Direct Campus Line
Example: [email protected]
Enter who you would like us to contact in the event that you are in an emergency:
Contact Name ***Relationship Phone Number **Phone Type
Additional
Phone Number
**Phone Type
Example: Joe Gator Relative
415-338-1111
415-338-1111Cellular Home
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