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Vinyl
Ornamental
High Security
Chain Link
Gates
Decorative
Repairs
View All
About
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Blog
Our Story
Join Our Team
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Emergency Contact Form
Emergency Contact Form
In the event of an emergency, Century Fence Company would like to know who we should contact on your behalf. Please fill out this form and return it to Tracy Griswold. If your preferred emergency contacts should change, please let us know as soon as possible.
Employee Name
First
Last
Employee Cell Phone
First Emergency Contact
Contact Name
First
Last
Home Phone
Cell Phone
Work Phone
Relation to Employee
Second Emergency Contact
Contact Name
First
Last
Home Phone
Cell Phone
Work Phone
Relation to Employee
I do not wish to provide Century Fence Company with any emergency contacts
Employee Name
First
Last
Signature
Date
MM slash DD slash YYYY
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