Critical Incident Response Form
Please complete this form only if your organisation is experiencing a critical incident. We will respond within 30 minutes between 7:00 AM and 7:00 PM, seven days a week. Forms submitted after 7:00 PM may not receive a response from Empatia until 7:30 AM the next day.
First Name
Last Name
Phone Number
Email
Company Name
What is the nature of the incident?
Submit
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