NEW APPLICATION OR UPDATE FORM

FREE EMERGENCY
CONTACT CARD

FREE DURABLE PLASTIC CARD

Complete this form for your new card or to update your current card information.

If you are updating a current card, please check the box below, "Yes, I'd like to update my card information".

For Your Free Emergency Contact Card Complete The Registration Form Below

For Questions and Inquiries Please Contact Info@freeemergencycontactcard.com

Step 1 of 2

50%
  • FIRST EMERGENCY CONTACT

  • SECOND EMERGENCY CONTACT

  • PLEASE REVIEW YOUR INFORMATION FOR ACCURACY BEFORE YOU CLICK THE SUBMIT BUTTON.

PLEASE ALLOW 10 BUSINESS DAYS FOR DELIVERY OF YOUR NEW DURABLE PLASTIC EMERGENCY CONTACT CARD

This service is provided by the Canada Retirement Information Centre Inc., COMMUNITY SERVICE DIVISION, Suite 212, 1827 Woodward Drive, Ottawa, Ontario K2C 0P9. By completing this form you are giving the Canada Retirement Information Centre Inc. the expressed consent to update you by phone, text, letter and email. You may unsubscribe at any time. To contact the Canada Retirement Information Centre please visit our website at www.CanRetire.com where you may also view our Privacy Policy. If you require help, please contact info@freeemergencycontactcard.com.