Optional Emergency Contact SB294 Step 1 of 2 50% FacebookThis field is for validation purposes and should be left unchanged.You may voluntarily choose to provide your employer with the name and contact information of one emergency contact in the event you are detained or arrested while at work. Providing an emergency contact is completely optional. Choosing not to provide an emergency contact will not affect your employment in any way.Employee Name* First Last Employee Phone Number*Employee Email* Restaurant*Pick OnePacific Ave #802Wilson Way #969Lower Sacramento Road #3017Lodi Avenue #3580Charter Way #4111Tracy Blvd #4147Ben Holt #4643Elk Grove Blvd #4804Center Street #6216Waterloo Road #7058Louise #8195Floyd #10338Kettleman Lane/99 #10555Galt #10852March Ln. & West Ln. #1179711th Street #12264Martell #13329Westley #13556Flag City #14444Laguna #17476Patterson #17477Riverbank #17936Holman Road #20612Scenic #22222Union Road #23653Don Avenue #24092Gateway #25489Quail Lakes #25768Laguna Springs #26345Calvine #26895ValPico #32054Spanos Park #32074Daniels Street #32116Lathrop Road #32765Twin Cities #34891Yosemite #35025Bruceville #35050Elk Grove-Florin #35797Sheldon #35911Tracy High #36229Sunwest #36681Reynolds Ranch #40627Weston Ranch #40735Employee GEID, CrewID or eID*Emergency Contact Decline I decline to provide an emergency contact at this time. Emergency Contact InformationEmergency Contact Name First Last Emergency Contact PhoneRelationship to EmployeeAuthorization & Use LimitationAuthorization Consent* I voluntarily authorize the Company to contact the person listed above only if I am detained or arrested while at work.Voluntary Consent*I understand providing an emergency contact is voluntary. I understand this information will not be shared with law enforcement. I understand this information will be used only for the purpose stated above. I understand choosing not to provide an emergency contact will not affect my employment. I understand.AttestationEmployee Signature* I certify that the information submitted is true and correct to the best of my knowledge.Designation Replacement Consent* I understand submitting this form replaces any prior emergency contact designation for this purpose.CAPTCHA We are looking for hard working, enthusiastic individuals! Apply Here
