Employee Emergency Contact Form for Landscaping Staff Member
This is an emergency contact form dated March 19, 2018, for Gael J Leatham, a landscaping employee of LSJE, LLC (located in St. Thomas, Vermont). The form documents personal information, emergency contacts, and health details. It appears to be a standard workplace safety document used to identify who should be contacted in case of employee emergency.
Document Transcript
LSJE, LLC 6100 Red Hook Quarters Suite B-3 St. Thomas, VT 00802 [Phone and fax redacted]
EMERGENCY CONTACT FORM
Start Date: [blank]
Employee Name: Gael J Leatham Address: [REDACTED] Date of Birth: [REDACTED] Phone: [blank] Cell: [REDACTED] E-Mail: [blank]
Title / Position: Landscaping Marital Status: Single License: [REDACTED]
EMERGENCY INFORMATION:
Allergies or Health Concerns: [blank] Blood Type: [REDACTED] Current Medication: [blank]
Doctor's Name: [blank] | Phone: [blank] Doctor's Name: [blank] | Phone: [blank]
IN CASE OF AN EMERGENCY, PLEASE CONTACT:
Emergency Contact 1: Name: [REDACTED] Relationship: Girlfriend Phone: [REDACTED]
Emergency Contact 2: Name: [REDACTED] Relationship: Sister Phone: [REDACTED]
Footer: "This Information is for your safety and the safety of others"
Names mentioned: - Gael J Leatham — Employee, Landscaping position at LSJE, LLC
Frequently Asked Questions
What is "Employee Emergency Contact Form for Landscaping Staff Member"?
Where does this document come from?
How long is this document?
Can I download this document?
Type
OtherSource
DOJ - Data Set 1Release Date
January 24, 2025
Pages
1
File Size
545.2 KB
Format
Data Set
data-set-1
OCR Confidence
ID: EFTA00003053
Last updated: Mar 9, 2026
Related Documents
View all othersAerial Property Map or Site Plan - Largely Illegible
This document appears to be an aerial photograph or map showing a property layout with surrounding terrain and structures. The image is heavily deg...
Emergency Contact Form for LSJE, LLC Employee
This is an employee emergency contact form from LSJE, LLC (a property management company based in St. Thomas, VI) dated 2/6/19. The form contains p...
Architectural Sketch of Waterfront Dock and Island Property Development
This is a hand-drawn architectural sketch depicting a waterfront property development plan, featuring a dock structure, boathouse or small building...
Architectural Sketch of Waterfront Dock and Property Development
This is a hand-drawn architectural or landscape sketch depicting a waterfront property with a dock structure, boat house, and extensive palm tree l...
Architectural Sketch of Residence with Dining Room Elevation
This is a hand-drawn architectural sketch depicting the front elevation of a residential structure, annotated as 'Dining Room (Scroll Elevation)'. ...
Palm Beach Police Department Official Police Photographs Log Sheet
This is an official evidence documentation log from the Palm Beach Police Department for photographs taken in Case #05-368, a sexual battery invest...