Emergency Contact List Template

Keep this important information readily available in case of emergency or when filing a claim.

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Emergency Contact List

Keep this information in a safe, accessible place

Personal Information

Full Name

Phone Number

Email Address

Home Address

Insurance Information

Insurance Company

Policy Number

Claims Phone Number

Agent Name

Agent Phone

Policy Effective Date

Emergency Contacts

Contact 1

Name

Relationship

Phone Number

Contact 2

Name

Relationship

Phone Number

Contact 3

Name

Relationship

Phone Number

Important Service Providers

Public Adjuster

Company

ELITE CLAIMS ADJUSTERS

Phone

(631) 933-6332

Attorney

Name

Phone

Contractor/Repair Service

Company

Phone

Utility Companies

Electric

Company

Phone

Gas

Company

Phone

Water

Company

Phone

Internet/Cable

Company

Phone

Medical Information

Primary Doctor

Phone

Hospital/ER

Phone

Allergies/Medical Conditions

Important Documents Location

Insurance Policy Documents

Property Deed/Lease

Vehicle Title/Registration

Safe/Lockbox Location

ELITE CLAIMS ADJUSTERS LLC

License #: 1820319

Phone: (631) 933-6332 | Email: sales@eliteadjustersny.com

Keep this document updated and store it in a safe, accessible location.