Emergency Contact Form for Sylvester Gaillard, LSJE LLC
This is an employee emergency contact form dated January 11, 2018, for Sylvester Gaillard, who worked as a Supervisor at LSJE LLC in St. Thomas, Virgin Islands. The form contains personal information including address, contact details, marital status, health information, and emergency contact designations. Several fields are redacted, including date of birth, phone number, driver's license number, blood type, and emergency contact names/phones.
Document Transcript
LSJE, LLC 6100 Red Hook Quarters, Suite B-3, St. Thomas, VI 00802-1348 Phone: [REDACTED] E-mail: thesaintjames.group@gmail.com
--- EMERGENCY CONTACT FORM ---
Today's Date: 01/11/18 Start Date: [BLANK]
Employee Name: Sylvester Gaillard Date of Birth: [REDACTED]
Physical Address: [REDACTED], St Thomas, VI Mailing Address: [REDACTED], St Thomas, VI
Cell Phone: [REDACTED] Phone (other): [BLANK]
E-mail: [BLANK] Marital Status: Single
Title/Position: Supervisor Driver's License No: [REDACTED]
Allergies or Health Concerns: None
Blood type: [REDACTED]
Current Medications: Diabetic Medications
Doctor's Name: Dr. Alah Doctor's Phone: [BLANK]
Doctor's Name: [BLANK] Doctor's Phone: [BLANK]
In case of emergency, please contact:
Name: [REDACTED] Relationship: Mother Phone: [REDACTED]
Name: [BLANK] Relationship: [BLANK] Phone: [BLANK]
This information is for your safety and the safety of others.
Names mentioned: - Sylvester Gaillard — Employee, Supervisor at LSJE LLC - Dr. Alah — Employee's physician
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Type
OtherSource
DOJ - Data Set 1Release Date
January 24, 2025
Pages
1
File Size
498.8 KB
Format
Data Set
data-set-1
OCR Confidence
ID: EFTA00003070
Last updated: May 8, 2026
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