EFTA00003034.pdf
479 KB
Extraction Summary
1
People
2
Organizations
2
Locations
0
Events
1
Relationships
3
Quotes
Document Information
Type:
Emergency contact form / employee record
File Size:
479 KB
Summary
This document is an Emergency Contact Form for LSJE, LLC (Little St. James Enterprise) filled out by employee Asheille Etienne on January 27, 2019. The form lists the employee's residence in St. Thomas, VI, and indicates they have no allergies or current medications ('N/A'). Sensitive personal information such as specific street address, phone numbers, email, date of birth, and driver's license number has been redacted.
People (1)
| Name | Role | Context |
|---|---|---|
| Asheille Etienne | Employee |
Subject of the Emergency Contact Form
|
Organizations (2)
| Name | Type | Context |
|---|---|---|
| LSJE, LLC |
Header of the document (Little St. James Enterprise)
|
|
| The Saint James Group |
Implied by email address (thesaintjames.group@gmail.com)
|
Locations (2)
| Location | Context |
|---|---|
|
Header address for LSJE, LLC
|
|
|
Employee physical and mailing address location (00802)
|
Relationships (1)
Employee Name field on LSJE, LLC form
Full Extracted Text
Complete text extracted from the document (964 characters)
LSJE, LLC
6100 Red Hook Quarters, Suite B-3, St. Thomas, VI 00802-1348
Phone: [REDACTED] E-mail: thesaintjames.group@gmail.com
6100 Red Hook Quarters, Suite B-3, St. Thomas, VI 00802-1348
Phone: [REDACTED] E-mail: thesaintjames.group@gmail.com
Emergency Contact Form
Today's Date: January 27, 2019
Start Date: [BLANK]
Employee Name: Asheille Etienne
Date of Birth: [REDACTED]
Physical Address: [REDACTED] St. Thomas U.S VI 00802
Mailing Address: [REDACTED] St. Thomas V.I 00802
Cell Phone: [REDACTED BLOCK]
Phone (other): [BLANK]
E-mail: [REDACTED BLOCK]
Marital Status: Single
Title/Position: [BLANK]
Driver's License No: [REDACTED]
Start Date: [BLANK]
Employee Name: Asheille Etienne
Date of Birth: [REDACTED]
Physical Address: [REDACTED] St. Thomas U.S VI 00802
Mailing Address: [REDACTED] St. Thomas V.I 00802
Cell Phone: [REDACTED BLOCK]
Phone (other): [BLANK]
E-mail: [REDACTED BLOCK]
Marital Status: Single
Title/Position: [BLANK]
Driver's License No: [REDACTED]
Allergies or Health Concerns: None
Blood type:
[] A- [] A+ [] AB- [] AB+ [] B- [] B+ [] O- [] O+ [] Unknown
Current Medications: N/A
Blood type:
[] A- [] A+ [] AB- [] AB+ [] B- [] B+ [] O- [] O+ [] Unknown
Current Medications: N/A
Doctor's Name: [BLANK]
Doctor's Phone: [BLANK]
Doctor's Name: [BLANK]
Doctor's Phone: [BLANK]
Doctor's Phone: [BLANK]
Doctor's Name: [BLANK]
Doctor's Phone: [BLANK]
In case of emergency, please contact:
Name: [BLANK] Relationship: [BLANK] Phone: [BLANK]
Name: [BLANK] Relationship: [BLANK] Phone: [BLANK]
Name: [BLANK] Relationship: [BLANK] Phone: [BLANK]
Name: [BLANK] Relationship: [BLANK] Phone: [BLANK]
This information is for your safety and the safety of others.
EFTA00003034
EFTA00003034
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