DOJ Epstein Files, Data Set 1 (EFTA00003042)

	Phone:	LSJE, LLC 6100 Red Hook Quarters, Suite B-3, St. Thomas, VI 00802-1348 E-mail: thesaintjames.group@gmail.com
		Emergency Contact Form

	Today’s Date: 2/4/19	Start Date:
	Employee Name: Sheridon &	Date of Birth:
	Physical Address:
	Mailing Address:
	Cell Phone:	Phone (other):
	E-mail:	Marital Status:
	Title/Position:	Driver’s License No:

	Allergies or Health Concerns:
	Blood type:
	O A- JA+ AB- AB+	1 8- [] B+ 0- 0 0+ Unknown
	Current Medications:
	Doctor’s Name:	Doctor’s Phone:
	Doctor’s Name:	Doctor’s Phone:
rrent
	In case of emergency, please contact:
	Name: Relationship:	Wite Phone:
octo	Name: Relationship:	Phone:
cast		This information is for your safety and the safety of others.

	In I aw Dalationshin	Phone Inco-Ro EFTA00003042