http://www.utah.edu Human Resources Home
Home >> HR Information Systems >> PAN Information >> PAN Form Training and Reference Manual >> Update Emergency Contact
Update Emergency Contact

Payroll Reporter Instructions (v7.5)

Next:

Unpaid LOA

Previous:

Update Personal Data

Contents

Update Emergency Contact Information

Note: Update a copy of the turnaround PAN, obtain appropriate signatures and submit.
COMMENTS Enter comments sufficient to briefly explain this action!
Comments Enter text of comments.
CONTACT (Emergency Contact)  
Emergency Contact Name (Last,First M) Enter the name of the emergency contact.
Same Addr/Home Phone as Employee Yes o No o If home address and phone are the same as the employee, check the Yes box.
Home Address, City, State, Zip+4 or Postal Code Enter as appropriate.
Country Defaults to USA.
Phone Enter the phone number (including area code) for the emergency contact.
Other Phone Type: If available, enter the type for another phone number.
Number If available, enter the other phone number (including area code) for the emergency contact.
Employee’s Signature For changes to personal or contact data only!
Prepared By Enter your name.
Ext. Enter your work phone number.
Date Enter the date (mmddyyyy) you are completing this form.
Email Enter your e-mail address.

Next:

Unpaid LOA

Previous:

Update Personal Data

Contents