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Emergency Contact Form (blue card)

You can fill this form out in your NYC schools account, where you can also see your student grades, test scores, take classes in Parent University, Report bullying, Access forms for your child, Reset your child's DOE account password, Access SupportHub and more!

Make an account with NYC Schools

Don't have a NYCSA account? Need help?  Contact Susan 

 

Student Information

Primary Guardian Information

This Guardian Can:*
Answer required for "This Guardian Can:"
Ok to text*
Answer required for "Ok to text"
State*
Answer required for "State"

Additional Guardian Information

This guardian can
Answer required for "This guardian can"
Ok to text?
Answer required for "Ok to text?"
State
Answer required for "State"

Emergency Contact Information

List below names of three additional people who may be called in case of emergency or if child is sick in school.

No access: If there is a person who may NOT HAVE ACCESS to child please indicate:

Order of Protection
Answer required for "Order of Protection"

Health information