EFTA00003067.pdf
525 KB
Extraction Summary
3
People
1
Organizations
1
Locations
0
Events
1
Relationships
2
Quotes
Document Information
Type:
Emergency contact form / employee record
File Size:
525 KB
Summary
This document is an Emergency Contact Form for LSJE, LLC (Little St. James Enterprise) dated April 11, 2012. It records the employment details of Randy Amparo, hired as a 'Boat Captain', and lists his marital status as single. The document contains significant redactions regarding personal contact information, medical details (blood type), and family emergency contacts.
People (3)
| Name | Role | Context |
|---|---|---|
| Randy Amparo | Employee / Boat Captain |
Subject of the emergency contact form employed by LSJE, LLC.
|
| [Redacted Name 1] | Emergency Contact |
Father of Randy Amparo
|
| [Redacted Name 2] | Emergency Contact |
Mother of Randy Amparo
|
Organizations (1)
| Name | Type | Context |
|---|---|---|
| LSJE, LLC |
Employer listed at top of form (Little St. James Enterprise)
|
Locations (1)
| Location | Context |
|---|---|
|
Address of LSJE, LLC
|
Relationships (1)
Employee Name listed on LSJE, LLC form with title Boat Captain
Full Extracted Text
Complete text extracted from the document (935 characters)
LSJE, LLC
6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel: [Redacted] Fax: [Redacted]
6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel: [Redacted] Fax: [Redacted]
Emergency Contact Form
Date: 04/11/12 Start Date: _______________
Employee Name: Randy Amparo
Address: [Redacted] Date of Birth: [Redacted]
Phone: _______________ Cell: [Redacted] E-Mail: [Redacted]
Title / Position: Boat Captain Marital Status: Single License: _______________
Emergency Information:
Allergies or Health Concerns: NA
Blood Type: [Redacted]
Current Medication:
Doctor's Name: _______________ Phone: _______________
Doctor's Name: _______________ Phone: _______________
In case of an Emergency, Please contact :
Name [Redacted] Relationship Father Phone [Redacted]
Name [Redacted] Relationship Mother Phone [Redacted]
Name [Redacted] Relationship Mother Phone [Redacted]
This Information is for your safety and the safety of others
EFTA00003067
EFTA00003067
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