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Employee Emergency Contact Form (Canada)

Employee Emergency Contact Form (Canada)

This Employment Contract (the "Contract") is entered into on [Effective Date] (the "Effective Date") by and between:

[Employer Name], [Employer Type], with a registered address at [Employer Address], [Employer City], [Employer Province] [Employer Postal Code] (hereinafter referred to as the "Employer"); and

[Employee Name], an individual with a residential address at [Employee Address], [Employee City], [Employee Province] [Employee Postal Code] (hereinafter referred to as the "Employee"),

collectively referred to as the "Parties" and individually as a "Party".

WHEREAS the Employee is legally authorized to work in Canada;

WHEREAS the Employer desires to engage the Employee under the terms and conditions set forth herein, and the Employee wishes to accept such employment;

NOW, THEREFORE, in consideration of the mutual covenants contained herein, the Parties agree as follows:

1. EMERGENCY CONTACT INFORMATION

In accordance with the applicable provincial Occupational Health and Safety Act and workplace safety requirements, the Employee provides the following emergency contact information:

Primary Emergency Contact:

  • Name: [Emergency Contact Name]
  • Relationship: [Emergency Contact Relationship]
  • Phone: [Emergency Contact Phone]
  • Email: [Emergency Contact Email]
  • Address: [Emergency Contact Address]

Secondary Emergency Contact:

  • Name: [Second Contact Name]
  • Relationship: [Second Contact Relationship]
  • Phone: [Second Contact Phone]

The Employee agrees to promptly notify the Employer of any changes to the emergency contact information provided above. The Employer shall maintain this information in confidence and use it solely for emergency purposes in accordance with the Personal Information Protection and Electronic Documents Act (PIPEDA, S.C. 2000, c. 5).

2. START OF EMPLOYMENT

Employment shall commence on the Effective Date and shall continue on an indefinite basis until terminated in accordance with the provisions of this Contract and the applicable Employment Standards Act.

3. POSITION AND DUTIES

The Employee shall be employed as [Job Title]. The Employee's duties shall include: [Job Duties]. The Employee agrees to perform all duties faithfully and diligently and to comply with the Employer's policies, rules, and procedures.

4. WORK CONDITIONS AND SAFETY

The Employer shall provide a safe and healthy work environment in compliance with the applicable provincial Occupational Health and Safety Act and regulations. The Employee shall comply with all workplace safety policies, report hazards, and cooperate with the Employer's health and safety program.

5. WORKING HOURS

The Employee's regular working hours shall be [Weekly Hours] hours per week, following the schedule of [Work Schedule].

6. PAID TIME OFF

The Employee shall be entitled to the following paid time off:

  • [Vacation Days] days of annual vacation;
  • [Sick Days] days of paid sick leave per year;
  • [Personal Days] days of personal leave per year.

7. COMPENSATION

The Employee shall receive a salary of CAD $[Salary] [Salary Basis], payable on a [Pay Frequency] basis. All payments are subject to mandatory statutory deductions including Canada Pension Plan (CPP) contributions, Employment Insurance (EI) premiums, and federal and provincial income tax.

8. TERMINATION

Either Party may terminate this Contract by providing written notice. The Employer shall provide at least [Notice Period] of written notice (or pay in lieu) for termination without cause, meeting or exceeding the provincial ESA minimum. The Employee may terminate by providing at least two (2) weeks' written notice.

If terminated without cause, the Employer shall pay the Employee severance of CAD $[Severance Pay] within [Severance Days] days after termination.

The Employer may terminate immediately for just cause without notice in the following circumstances: [Just Cause Grounds].

9. NOTICES

Notices shall be in writing delivered to the addresses above or by email to: Employer: [Employer Email]; Employee: [Employee Email].

10. GOVERNING LAW

This Contract shall be governed by the laws of the Province of [Governing Province] and the federal laws of Canada applicable therein.

11. SEVERABILITY

If any provision is found invalid, the remaining provisions shall continue in full force and effect.

12. ENTIRE AGREEMENT

This Contract constitutes the entire agreement between the Parties and supersedes all prior agreements. Amendments must be in writing and signed by both Parties.

IN WITNESS WHEREOF, the Parties have executed this Contract as of the Effective Date in [Execution City], [Execution Province].

SIGNATURES

EMPLOYER:

Name: [Employer Name]

Date: [Effective Date]

EMPLOYEE:

Name: [Employee Name]

Date: [Effective Date]

Employer

________________

Signature

Date: ________________

Employee

________________

Signature

Date: ________________

Maintained by Vladislav Sergienko, Founder·Template last modified: ·Report an error

What Is a Employee Emergency Contact Form (Canada)?

An Employee Emergency Contact Form in Canada records the people an employer or organisation should contact about a person in an emergency, governed primarily by provincial privacy legislation and PIPEDA. It defines duties, remuneration, working hours, leave, and termination procedures binding employer and employee.

Canadian employers are required under provincial Occupational Health and Safety Acts to maintain workplace emergency procedures and take every reasonable precaution to protect the health and safety of their workers. Ontario's Occupational Health and Safety Act (R.S.O. 1990, c. O.1) imposes a general duty on employers to take every precaution reasonable in the circumstances for the protection of a worker. British Columbia's Workers Compensation Act (R.S.B.C. 2019, c. 1) and Alberta's Occupational Health and Safety Act (R.S.A. 2020, c. O-2.2) contain similar provisions. While these statutes do not explicitly mandate the collection of emergency contact information, maintaining such records is an essential component of meeting the employer's duty of care and emergency preparedness obligations.

The collection and handling of emergency contact information in Canada is governed by federal and provincial privacy legislation. The Personal Information Protection and Electronic Documents Act (PIPEDA, S.C. 2000, c. 5) applies to the collection, use, and disclosure of personal information in the course of commercial activities. Emergency contact details constitute personal information of both the employee and the designated contact person. Employers must limit collection to information that is reasonably necessary for the identified purpose, must use the information only for emergency purposes, must store it securely with appropriate access controls, and must allow employees to access and correct their information upon request.

Provincial private-sector privacy legislation in Alberta (Personal Information Protection Act, S.A. 2003, c. P-6.5), British Columbia (Personal Information Protection Act, S.B.C. 2003, c. 63), and Quebec (Act respecting the protection of personal information in the private sector, R.S.Q. c. P-39.1) imposes similar obligations. The combined employment contract and emergency contact form confirms that both the employment terms and the privacy consent for collecting emergency contact data are documented in a single, cohesive agreement signed by the employee at the start of their employment.

The legal framework governing the Employee Emergency Contact Form (Canada) in Canada draws on several key statutes and regulatory bodies. Under the Canada Labour Code (R.S.C. 1985, c. L-2), the Canada Industrial Relations Board adjudicates federal workplace disputes. Provincial employment standards legislation — including Ontario's Employment Standards Act 2000 and British Columbia's Employment Standards Act (RSBC 1996) — governs minimum employment terms. The Personal Information Protection and Electronic Documents Act (PIPEDA) governs private-sector data handling. The Canada Revenue Agency (CRA) administers source deductions and Canada Pension Plan (CPP) contributions. Parties executing a Employee Emergency Contact Form (Canada) in Canada should confirm the document reflects current law, including any amendments enacted since the original drafting date. The Canada Labour Code (R.S.C. 1985, c. L-2) sets the foundational requirements.

When Do You Need a Employee Emergency Contact Form (Canada)?

A Canadian Employee Emergency Contact Form with Employment Contract is needed whenever an employer hires a new employee and needs to collect their emergency contact information as part of the onboarding process. Combining these two documents streamlines the hiring workflow, confirms compliance with both employment standards and workplace safety requirements from day one, and reduces the administrative burden of managing separate forms.

The Canada Employee Emergency Contact Form (Canada) integrated document is particularly valuable for employers in industries with elevated workplace safety risks, such as construction, manufacturing, mining, oil and gas, healthcare, and transportation. In these sectors, the risk of workplace accidents is higher, and having immediate access to employee emergency contact information can be critical for confirming timely notification of family members and coordinating medical care. Provincial workers' compensation boards such as the Workplace Safety and Insurance Board (WSIB) in Ontario, WorkSafeBC in British Columbia, and the Workers' Compensation Board (WCB) in Alberta require employers to report workplace injuries and may need to contact the employee's emergency contacts as part of the claims process.

The document is also essential for employers who must comply with specific workplace safety regulations. Ontario Regulation 297/13 under the OHSA requires construction projects to have emergency procedures, and Ontario Regulation 851 (Industrial Establishments) requires employers to have emergency plans posted in the workplace. Having up-to-date emergency contact information for every employee is a practical necessity for implementing these emergency procedures effectively.

From a privacy law perspective, collecting emergency contact information at the same time as executing the employment contract allows the employer to obtain the necessary consent while the employee is reviewing and signing their employment terms. PIPEDA requires that consent for the collection of personal information be meaningful and informed. By integrating the emergency contact collection into the employment contract, the employer can clearly explain the purpose of collection, the limited scope of use, and the security measures in place, satisfying the consent requirements of both federal and provincial privacy legislation.

The employment contract portion of the document provides all the standard protections required under Canadian employment law, including compliance with the applicable provincial Employment Standards Act for termination notice, overtime, vacation pay, and statutory deductions. The emergency contact section adds an additional layer of workplace safety compliance and demonstrates the employer's commitment to employee welfare and emergency preparedness.

Under the Canada Labour Code (R.S.C. 1985, c. L-2), the Canada Industrial Relations Board adjudicates federal workplace disputes. Provincial employment standards legislation — including Ontario's Employment Standards Act 2000 and British Columbia's Employment Standards Act (RSBC 1996) — governs minimum employment terms. The Personal Information Protection and Electronic Documents Act (PIPEDA) governs private-sector data handling. The Canada Revenue Agency (CRA) administers source deductions and Canada Pension Plan (CPP) contributions.

What to Include in Your Employee Emergency Contact Form (Canada)

A thorough Canadian Employee Emergency Contact Form with Employment Contract must contain two primary sections: the employment contract terms and the emergency contact information section. Both sections must comply with the applicable federal and provincial legislation governing employment standards, workplace safety, and privacy.

The emergency contact section should collect the primary contact's full name, relationship to the employee, primary phone number, email address, and mailing address. A secondary emergency contact is recommended as a backup. The document should include a clause requiring the employee to promptly update their emergency contact information whenever changes occur, and the employer should commit to reviewing the information at least annually. A privacy statement must explain that the emergency contact information will be collected, used, and disclosed only for legitimate emergency purposes in accordance with PIPEDA and applicable provincial privacy legislation.

The employment contract section must identify both parties with their full legal names and addresses, using Canadian conventions (provinces instead of states, postal codes instead of ZIP codes, municipality instead of city). The employer's type (corporation, partnership, sole proprietorship) should be specified, along with the province of registration. The employee's position, job title, and key responsibilities must be clearly described, along with the workplace location and reporting structure.

The probationary period should comply with provincial standards: typically 3 months in Ontario and British Columbia, 90 days in Alberta. Working hours must specify the weekly hours and work schedule, with reference to the applicable provincial overtime thresholds. Compensation must be stated in Canadian dollars, with acknowledgment that all payments are subject to mandatory statutory deductions for CPP, EI, and income tax.

Vacation entitlements must meet or exceed provincial minimums, and the contract should address statutory holidays, sick leave, and personal leave. The termination clause must comply with the applicable Employment Standards Act, specifying notice periods that meet or exceed statutory minimums. Just cause termination grounds should be listed, with recognition that just cause is narrowly interpreted under Canadian common law. Non-solicitation restrictions should be reasonable in duration and scope. Confidentiality obligations should protect the employer's trade secrets and proprietary information. The governing law clause should reference the province where the employee primarily works, and the contract should be executed with the location (city and province) clearly stated.

Additional compliance elements for a Employee Emergency Contact Form (Canada) used in Canada include: Under the Canada Labour Code (R.S.C. 1985, c. L-2), the Canada Industrial Relations Board adjudicates federal workplace disputes. Provincial employment standards legislation — including Ontario's Employment Standards Act 2000 and British Columbia's Employment Standards Act (RSBC 1996) — governs minimum employment terms. The Personal Information Protection and Electronic Documents Act (PIPEDA) governs private-sector data handling. The Canada Revenue Agency (CRA) administers source deductions and Canada Pension Plan (CPP) contributions. Forms-legal.com provides this template as a starting point for Canada-compliant documentation.

Sources & Citations

Statutory citations link to official government sources.

  1. R.S.C. 1985, c. L-2CA official

Cite this page

Reference this free template in an article, syllabus, or research note:

APA

Forms Legal. (2026). Employee Emergency Contact Form (Canada) (Canada) [Legal document template]. Forms Legal. https://forms-legal.com/canada/employment/hr-forms/employee-emergency-contact-form-canada

MLA

"Employee Emergency Contact Form (Canada) (Canada)." Forms Legal, 2026, https://forms-legal.com/canada/employment/hr-forms/employee-emergency-contact-form-canada.

BibTeX
@misc{formslegal-employee-emergency-contact-form-canada,
  author       = {{Forms Legal}},
  title        = {Employee Emergency Contact Form (Canada) (Canada)},
  year         = {2026},
  howpublished = {\url{https://forms-legal.com/canada/employment/hr-forms/employee-emergency-contact-form-canada}},
  note         = {Free legal document template. Based on Canada Labour Code (R.S.C. 1985, c. L-2)}
}

Also available for these jurisdictions:

Frequently Asked Questions

Based on Canada Labour Code (R.S.C. 1985, c. L-2) — Template last modified June 2026Verify the source →

This template is provided for informational purposes only and does not constitute legal advice. Laws vary by jurisdiction and change over time. Consult a qualified attorney for advice specific to your situation.Full disclaimer

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