Employee Emergency Contact Form for Cristobal Hidalgo Herrera

LSJE, LLC 6100 Red Hook Quarters Suite 8-3 St. Thomas, VI 00802 Tel: 340-775-8100 Fax: 340-775-8108

EMERGENCY CONTACT FORM

Employee Name: Cristobal Hidalgo Herrera

Start Date: [BLANK] Address: [BLANK] Date of Birth: [BLANK] Title/Position: [BLANK] Phone: [BLANK] Cell: [BLANK] E-Mail: [BLANK]

Marital Status: [REDACTED] Licenses: [REDACTED]

Allergies or Health Concerns: [BLANK] Blood Type: [BLANK] Current Medication: [BLANK]

Doctor's Name: [BLANK] Phone: [BLANK]

Doctor's Name: [BLANK] Phone: [BLANK]

In case of an Emergency, Please contact: Relationship: [BLANK] | Other: [BLANK] | Phone: [BLANK] Relationship: [BLANK] | Phone: [BLANK]

Note: Multiple fields are heavily redacted with black bars covering sensitive information including what appears to be emergency contact details and health-related data.

Second page appears to be a continuation or related form with multiple columns and headers, significantly redacted with large black bars covering most content.

Names mentioned: - Cristobal Hidalgo Herrera — Employee named on the emergency contact form