Emergency Contact Information

Emergency Contact Details

Your Details

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Any allergies/Illnesses? *

Do you give permission for us to keep your details on file so that we can contact you about future work opportunities? *

Please tick if you would like us to keep your details on file

Emergency Contact Details

Emergency Contact Name *

Emergency Contact Number *

Emergency Contact Email *

Anything else we should know? *

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Please tick if you have taken a Lateral Flow Test in the last 24 hours and the result was negative

The purpose of this form is to ensure that Silverbox is able to efficiently ensure your health and safety while you are working with us.

This form will be kept confidential and will be destroyed once the Production is complete unless you have indicated otherwise.
The information in this document will only be shared on a need to know basis and will only be used in an emergency.

For more details about how we handle your data please refer to our Privacy Policy

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I understand the terms and conditions of this document and I consent to Silverbox holding this information and sharing it with other parties where it is their legal responsibility to do so.

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