EFTA01342064

3 LSJE, LLC 6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel: Date: 03/19/18 Employee Name: Oriole Joseph Address: 30 Kronpreusens Grade Phone: Title / Position: Maintenance mergency Information: Allergies or Health Concerns. Blood Type: Current Medication: Doctor's Name: Doctor's Name: Emergency Contact Form Cell: In case of an Emergency, Please contact : Name 'lame Relationship Relationship Marital Statu Phone: Phone: Fax: Start Date: 10/01/16 Date of Birt E-Mail: License: Cousin Phone Cousin Phone This Information is for your safety and the safety of others EFTA01342064