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eVResCareYouth Solutions Page 13Please PostEMERGENCY CONTACT INFORMATION SHEETARBOR YOUTH SERVICES EMPLOYMENT TRAINING PROGRAMArbor Youth Trainee s NameTrainee s Home AddressTrainee s Phone NumberName <strong>of</strong> Person to Contact at HomeEmergency InformationPerson to Contact In EmergencyPhone Number must be different than homeRelationship to Employee TraineeCheck if phone number is Work HomeCellTRAINEE INJURY PROCEDURESEMERGENCY INCIDENTIn case <strong>of</strong> an EMERGENCY call 911 and coordinate immediate assistancestaff to communicate details <strong>of</strong> accident and location <strong>of</strong> TraineeTrainingContact Arbor EducationStaff NamePhoneAdditional Staff NamePhoneNon Emergency IncidentContact <strong>the</strong> above named Arbor Youth Services staff to determine need for medical services and location <strong>of</strong>services if requiredArbor staff will take youth to medical service location if immediate service is not requiredArbor Youth Services staff and supervisor will jointly complete <strong>the</strong> incident reportWorkers compensation coverage medical coverage only is provided by ArborArbor ET LLC All Rights Reserved Worldwide This document is for <strong>the</strong> sole use <strong>of</strong> Arbor and Or ResCare personnel only andmay contain confidential and privileged information Any unauthorized review use disclosure or distribution is prohibitedMarch 6 2009d

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