Every daycare needs a clear and current emergency form. In an emergency, staff need to act quickly. A good form helps them find the right contacts, respond to health needs, and reunite children with their families safely.
This simple tool supports child safety, helps calm families, and gives staff the information they need during a stressful moment.
A complete emergency form also helps your program stay organized and prepared. It shows families that safety matters and helps support licensing expectations.
Parents trust your program to know what to do in a crisis. An emergency form gives staff critical details at a glance, including:
health needs
emergency contacts
pickup permissions
medical consent
It is one of the most important forms in your child care files.
For a helpful ChildCareEd resource, start here: Local Emergency Contact Form
The first section should be simple and easy to scan quickly.
Include:
child’s full name
date of birth
classroom or teacher name
enrollment date
primary language
parent or guardian name
relationship to the child
phone numbers for each parent or guardian
It is also important to list at least two emergency contacts other than the parents. These people should be someone staff can reach if the parent cannot be contacted.
You should also include authorized pickup names and note that staff may ask for photo ID before releasing a child.
For another useful template, see: Emergency Form. Admin. All Ages.
Health information should be easy to find because it may be needed right away during an emergency.
Include:
medical conditions
allergies
current medications
dosage instructions
storage instructions
doctor’s name and phone number
preferred hospital if needed
special care instructions
This section should also include signed permission for emergency treatment or for staff to call 911 if needed.
If a child has asthma, seizures, diabetes, severe allergies, or another serious condition, make sure that information is clearly listed.
Allergies can become serious very quickly. Staff need to know what a child is allergic to, what reactions to watch for, and what medication or action is needed.
This part of the form should clearly list:
the allergy
the usual reaction
what to do in an emergency
whether the child has an EpiPen or other medication
Keeping this section clear can help staff respond faster and more safely. ChildCareEd also offers medication-related training, including Administration of Medicine. This course focuses on illness, chronic conditions, parental consent, and safe medication practices in child care.
Reunification is a major part of emergency planning. If your site must evacuate or close suddenly, staff need to know who can pick up each child.
Make sure the form includes:
multiple phone numbers for parents
at least two backup emergency contacts
names of authorized pickup people
relationships to the child
signed pickup permission
custody or legal restrictions if needed
If your program has a reunification site or evacuation location, you may also want to note that as part of your emergency plan.
For broader emergency planning help, use this ChildCareEd resource:
Emergency Preparedness Plan for Child Care Providers and Child Care Centers
Emergency forms should be easy to access but still stored securely.
A good system may include:
one paper copy in the classroom
one master copy in the office
one copy in the classroom Go-Bag
a digital backup in a secure location
Keeping a copy with your daily attendance sheet can also help during drills, evacuations, or field trips.
Emergency forms should be reviewed often so the information stays accurate.
A good rule is to:
complete the form at enrollment
review it every 3 to 6 months
update it anytime a family has a change
Changes may include:
new phone numbers
new emergency contacts
health updates
medication changes
custody changes
new pickup permissions
It helps to remind families that keeping this form current is part of keeping their child safe.
Emergency forms work best when staff know how to use them as part of a larger safety plan. ChildCareEd offers several related courses that fit this topic well.
A strong option is Emergency and Disaster Preparedness: This course covers essential skills for keeping children safe during emergencies and disasters.
Another helpful course is Creating an Emergency and Disaster Preparedness Plan: This course focuses on building an emergency plan for a child care program, which pairs well with keeping complete emergency forms on file.
A third good fit is Health and Safety Orientation: This course covers prevention, emergency response, and child protection, which supports the everyday use of emergency forms and safety records.
Many programs have emergency forms on file, but they are not always complete or current.
Common mistakes include:
missing signatures
outdated phone numbers
missing medication details
unclear pickup permissions
forms stored in different places
staff not knowing where forms are kept
You can avoid these problems by reviewing forms regularly, using one clear system, and training staff to find and use the forms quickly.
Keep the form short, clear, and well organized. Use simple sections and make sure the most important information stands out.
It also helps to practice using the form during drills. Staff should know:
where the form is stored
how to read it quickly
what to do with the information
how to use it during reunification
The form should feel like a real safety tool, not just another paper in a file.
A complete form should include:
child and family basics
emergency contacts
authorized pickup names
health and medication details
allergies and emergency instructions
signed medical consent
update dates
safe storage plan