Emergency Contact Form for LSJE, LLC Employee
This is an emergency contact form dated April 9, 2018, for an employee named Onel Pierresaint employed by LSJE, LLC, a business located in St. Thomas, Virgin Islands. The form contains basic personnel information including health details, emergency contacts, and physician information. Multiple sections of the form are redacted, limiting visibility of certain personal details.
Document Transcript
EMERGENCY CONTACT FORM
Company: LSJE, LLC Address: 6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Phone and Fax: [REDACTED]
Form Date: 04/09/18 Start Date: [BLANK]
Employee Name: Onel Pierresaint Address: [BLANK] Date of Birth: [REDACTED] Phone: [REDACTED] Cell: [BLANK] E-Mail: [BLANK]
Title/Position: [BLANK] Marital Status: Married License: [BLANK]
Emergency Information: Allergies or Health Concerns: Blood type unspecified Blood Type: [REDACTED] Current Medication: [REDACTED]
Doctor's Name: Rosal Joselito Phone: [REDACTED]
Doctor's Name: [BLANK] Phone: [BLANK]
In case of an Emergency, Please contact: Name: [REDACTED] | Relationship: Wife | Phone: [REDACTED] Name: [REDACTED] | Relationship: Friend | Phone: [REDACTED]
Footer: "This Information is for your safety and the safety of others"
Names mentioned: - Onel Pierresaint — Employee of LSJE, LLC - Rosal Joselito — Listed physician/doctor
Frequently Asked Questions
What is "Emergency Contact Form for LSJE, LLC Employee"?
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
517.7 KB
Format
Data Set
data-set-1
OCR Confidence
ID: EFTA00003062
Last updated: Mar 9, 2026
Related Documents
View all othersEmergency 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 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)'. ...
Architectural Sketch of Main Residence with Landscaping and Entry
This is a hand-drawn architectural sketch depicting a sprawling residential compound with multiple connected structures, palm trees, and landscaped...
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...
Emergency Contact Form for Maurice Bedminster, LSJE LLC
This is an employee emergency contact form dated April 16, 2019, filled out by Maurice Bedminster with a start date of March 25, 2019. The form was...
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...