EFTA01223278

LSJE, LLC 6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel: Emergency Contact Form Date: 03/19/18 Employee Name: Oriole Joseph Start Date: 10/01/16 Address: Date of Birth: 01/10/76 Phone: Cell: E-Mail: Title / Position: Maintenance Marital Status: Single License: Emergency Information: Allergies or Health Concerns: Current Medication: Doctor's Name: Doctor's Name: unspecified Phone: Phone: In case of an Emergency, Please contact : Name Oscal Leil Relationship Cousin Phone 863-257-5611 Name Charles Victel Relationship Cousin Phone This Information is for your safety and the safety of others EFTA01223278