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Update Emergency Contacts - Biology Dirty Soils Room
Faculty, PIs, Floor & Lab Managers:
Use this form to submit changes on emergency contacts posted in the:
Dirty Soils Room (RM 20)
Dirty Soils includes rooms 6, 14, 15, 16 &17
Dirty Soils includes storage racks in the hallway entry, #1-5
Please complete this form when:
Contacts for emergencies change
Room/rack user changes
You have gained and/or given up storage space in this room
Form Instructions:
Use this form to update/report emergency contacts for up to 5 spaces in Dirty Soils
To submit information for additional spaces (5+) please submit another form.
Room/rack# not listed? Let the CEF know in the "Additional Comments" section.
***
To request a new office placard, please fill out this form
https://forms.gle/9SDREcGBUWRtHadp9
and contact HR Technician, Tyler Heyne (
Tyler.Heyne@colostate.edu
).
Questions?:
Contact CEF, Elizabeth Saunders (
Elizabeth.Saunders@colostate.edu
)
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* Indicates required question
First and Last Name of Primary Emergency Contact
*
Your answer
Primary Emergency Email
*
Your answer
Primary Emergency Phone Number
*
Your answer
The primary phone number provided is a cell, work, or other?
*
If other, please explain.
Cell
Work
Other:
First and Last Name of Secondary Emergency Contact
*
Your answer
Secondary Emergency Email
*
Your answer
Secondary Emergency Phone Number
*
Your answer
The secondary phone number provided is a cell, work, or other?
*
If other, please explain.
Cell
Work
Other:
What changes would you like to be made with the above info?
*
Select all that apply
Add/update primary contact info
Remove/replace primary contact info
Add/update secondary contact info
Remove/replace secondary contact info
Other:
Required
Which room/rack do you you need to update?
*
Choose
RM 06
RM 14
RM 15
RM 16
RM 17
Rack #1
Rack #2
Rack #3
Rack #4
Rack #5
Which room/rack do you you need to update?
Choose
RM 06
RM 14
RM 15
RM 16
RM 17
Rack #1
Rack #2
Rack #3
Rack #4
Rack #5
Which room/rack do you you need to update?
Choose
RM 06
RM 14
RM 15
RM 16
RM 17
Rack #1
Rack #2
Rack #3
Rack #4
Rack #5
Which room/rack do you you need to update?
Choose
RM 06
RM 14
RM 15
RM 16
RM 17
Rack #1
Rack #2
Rack #3
Rack #4
Rack #5
Which room/rack do you you need to update?
Choose
RM 06
RM 14
RM 15
RM 16
RM 17
Rack #1
Rack #2
Rack #3
Rack #4
Rack #5
Additional comments
Provide a new/missing unit number here and location if not listed above.
Your answer
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