Employee Emergency Contact Form for Dalce Gusneme
This is an emergency contact form completed on April 10, 2018, for an employee named Dalce Gusneme working for LSJE, LLC, located in St. Thomas, U.S. Virgin Islands. The form captures essential employee information including personal details, health information, and emergency contacts. Most identifying information has been redacted, including address, date of birth, phone, email, and emergency contact details.
Document Transcript
EMERGENCY CONTACT FORM
Company: LSJE, LLC Address: 6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802
Start Date: 04/10/18
Employee Name: Dalce Gusneme Address: [REDACTED] Date of Birth: [REDACTED]
Phone: [REDACTED] Cell: [REDACTED] E-Mail: [REDACTED]
Title/Position: Landscapc [partially visible/unclear] Marital Status: Married License: [BLANK]
ALLERGIES OR HEALTH CONCERNS: [BLANK] Blood Type: Not specified Current Medication: [BLANK]
Doctor's Name: [BLANK] Phone: [BLANK]
Doctor's Name: [BLANK] Phone: [BLANK]
IN CASE OF AN EMERGENCY, PLEASE CONTACT:
Name: [REDACTED] Relationship: Sister Phone: [REDACTED]
Name: [BLANK] Relationship: [BLANK] Phone: [BLANK]
Footer: "This Information is for your safety and the safety of others"
Names mentioned: - Dalce Gusneme — Employee; worked for LSJE, LLC in St. Thomas, VI; appears to have held a landscaping-related position; marital status listed as married
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Type
OtherSource
DOJ - Data Set 1Release Date
January 24, 2025
Pages
1
File Size
484.0 KB
Format
Data Set
data-set-1
OCR Confidence
ID: EFTA00003048
Last updated: Mar 9, 2026
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