Guidelines for Completing the Emergency Contact Form

Employee Data

  • Enter your name and if you use a nick name please list it.
  • Home Address
    • The address where you will be living during your clerkship
    • If you don’t know that address at this time, please use your permanent address.  You may update your address in the future by completing address change forms at this link:  http://www.mdcourts.gov/hr/addresschanges.html
  • Check which court you will be working in
  • Enter the county where you will be working

Emergency Contacts

  • List two people whom we may contact in case of an emergency.

Sign and date the form

Bring this form with you to your Onboarding Session

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