LSJE, LLC 6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802 Tel: 340-775-8100 Fax: 340-775-8108 Emergency Contact Form Date: 03/19/18 Start Date: 10/01/16 Employee Name: Oriole Joseph Title / Position: Maintenance Marital Status: Single License: } mergency Information: Blood type unspecified Allergies or Health Concerns: Blood Type: I Current Medication: Doctor's Name: Doctor's Name: In case of an Emergency, Please contact : Name Relationship Cousin Phone < PB oe Relationship Cousin Phone This Information is for your safety and the safety of others EFTA00003063