Free Emergency Contact Form

Beyond administering probate cases, the office of the Clark County Public Administrator provides critical safeguarding of property when a person passes away and family is not immediately found. Often, these people communicate with family frequently, but medical professionals cannot unlock password-protected cell phones.

It is very important to ensure that your family can be contacted by medical professionals should you be found in need of medical attention. You can cut out the attached emergency contact form, complete it, and place it on your refrigerator. This will ensure that your family is notified and medical professionals can better care for you in the event of an emergency.

Please click the button below to download your free emergency contact form. It is printed horizontally on a letter-sized sheet of paper to allow for easier cutting.