Emergency Contact Form for Michael J Glidden, LSJE LLC Employee
This is an employee emergency contact form dated June 14, 2018, for Michael J Glidden, an Engineer employed by LSJE, LLC (a company with offices in St. Thomas, U.S. Virgin Islands). The form captures standard HR information including employment start date, contact details, marital status, health information, and emergency contacts. Most personal identifying information is redacted.
Document Transcript
EMERGENCY CONTACT FORM
Company: LSJE, LLC Address: 6100 Red Hook Quarters Suite B-3, St. Thomas, VI 00802 Telephone and Fax: [REDACTED]
Form Date: 06/14/18 Employee Start Date: 04/20/18
Employee Information: - Name: Michael J Glidden - Address: GSJ [incomplete] - Date of Birth: [REDACTED] - Phone: [REDACTED] - Cell: [REDACTED] - E-Mail: [REDACTED] - Title/Position: Engineer - Marital Status: Divorce - License: [REDACTED]
Emergency Information: - Allergies or Health Concerns: None - Blood Type: [REDACTED] - Current Medication: None - Doctor's Name: [REDACTED] - Doctor's Phone: [REDACTED] - Doctor's Name: [REDACTED] - Doctor's Phone: [REDACTED]
Emergency Contacts: - Name: [REDACTED] | Relationship: Son | Phone: [REDACTED] - Name: [REDACTED] | Relationship: Brother | Phone: [REDACTED]
Footer: "This Information is for your safety and the safety of others"
Names mentioned: - Michael J Glidden — Employee of LSJE, LLC; position: Engineer; employment start date: 04/20/18; marital status: Divorce
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Type
OtherSource
DOJ - Data Set 1Release Date
January 24, 2025
Pages
1
File Size
510.1 KB
Format
Data Set
data-set-1
OCR Confidence
ID: EFTA00003061
Last updated: May 1, 2026
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