University Student Emergency Contact Form
About this free form template

Keep Your Campus Community Safe with a Comprehensive Student Emergency Contact Form

Every university administrator knows that having accurate, up-to-date emergency contact information isn't just good practice—it's essential for student safety and institutional compliance. Whether you're managing housing, student affairs, health services, or campus security, this university student emergency contact form template gives you a complete, professional solution for collecting critical information from students.

Why Universities Need Dedicated Emergency Contact Forms

Students come from diverse backgrounds and situations. Some live on campus, others commute. Some have family nearby, others are international students thousands of miles from home. When an emergency strikes—medical crisis, mental health concern, natural disaster, or family emergency—having the right contact information can make all the difference.

This template goes beyond basic parent phone numbers. It captures local emergency contacts for students living away from home, multiple home contacts for redundancy, insurance details for medical situations, mental health crisis contacts for wellness emergencies, and medical release authorization so your staff can act quickly when every second counts.

Built for Student Affairs, Health Services & Campus Safety

This form template is designed specifically for higher education institutions and covers the full spectrum of emergency scenarios:

  • Student Affairs offices can maintain updated records for the entire student body
  • Residential Life teams can ensure every on-campus student has local support
  • Campus Health Services can access insurance and medical authorization instantly
  • Counseling Centers can connect students in crisis with their designated support persons
  • Campus Safety can reach the right people during security incidents or evacuations

The form uses conditional logic to adapt to each student's situation—collecting relevant local contact information only when needed, and ensuring all critical fields are properly filled out before submission.

Streamline Collection with Paperform's Smart Features

With Paperform, this emergency contact form becomes more than just a data collection tool. Students can complete it during orientation, update it mid-semester, or fill it out quickly on mobile devices. The clean, accessible design reduces form abandonment while ensuring compliance.

Integration with your existing systems is seamless. Connect submissions directly to your student information system, export to secure databases, or use Stepper (stepper.io) to automatically route different types of updates to the right departments—new student records to Student Affairs, insurance updates to Health Services, and address changes to Residential Life.

For institutions requiring documented consent, you can even extend this workflow with Papersign (papersign.com) to capture electronic signatures on medical release forms and FERPA waivers, creating a complete digital record linked to each student's emergency contact submission.

Designed for Security, Built for Education

Student information is sensitive, and this template treats it that way. Paperform's SOC 2 Type II compliance and secure data handling ensure that emergency contact information stays protected while remaining accessible to authorized staff when needed. Set up role-based access so housing staff see residential information, health services access medical details, and campus safety can reach contacts 24/7.

Whether you're onboarding 500 first-year students or updating records for your entire campus population, this form template scales to meet your institution's needs while maintaining the professional, trustworthy experience students and families expect from their university.

Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Built for growing businesses, trusted by bigger ones.
Trusted by 500K+ business owners and creators, and hundreds of millions of respondents. Small and growing teams across marketing, eCommerce, education, and professional services run their forms on Paperform.

Our customers love us, with an average rating of 4.8 out of 5 from 380 reviews across Capterra, Trustpilot, and G2.