Capf 161 Form PDF Details

In today's fast-paced world, where uncertainties abound, being prepared for emergencies, especially in organizations that deal with training and activities that carry risks, is paramount. The CAPF 161 form serves as a critical tool in this preparedness, specifically designed for members of the Civil Air Patrol (CAP), a leading public service organization committed to serving the American people in times of domestic emergencies. This form encapsulates vital emergency information including insurance and physician details, as well as emergency contacts and consents for minors, ensuring that in any unexpected event, the necessary information is at the fingertips of responders. By requiring members to provide comprehensive details such as their name, grade, CAPID, charter number, and extensive contact information, coupled with primary insurance information, including policy numbers, group codes, and co-pay amounts, the form plays an instrumental role in streamlining the process of getting help or necessary medical attention. Additionally, it mandates the attachment of insurance cards and outlines the specifics regarding the individual's family physician, thereby underscoring the form's thoroughness in covering all bases for emergency scenarios. The inclusion of emergency contact details further enhances the form’s utility by specifying the first point of contact in critical situations. The CAPF 161 form, updated in June 2013, is not just a document but a comprehensive plan embedded in a piece of paper, ensuring that CAP members are prepared for emergencies, thus highlighting the organization’s commitment to the safety and well-being of its members.

QuestionAnswer
Form NameCapf 161 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namescapf 161 pdf, cap 161 form, 161 download, capf 161 information

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EMERGENCY INFORMATION

(Insurance/Physician Information, Emergency Contacts, Minor Consents

Name (Last, First, Middle)

Grade

CAPID

Charter Number

Mailing Address (Number and Street)

City

State Zip Code

(Area Code) Home Phone

(Area Code) Cell Phone

Primary Insurance Information (Please attach copy of insurance cards, front and back)

Medical Insurance Company

Policy Number

Group Code/Number

Co-Pay Amount

 

 

 

$

 

 

 

 

Prescription Coverage Company

Policy Number

Group Code/Number

Co-Pay Amount

 

 

 

$

 

 

 

 

Family Physician

Name

(Area Code) Phone

Mailing Address (Number and Street)

City

State Zip Code

Emergency Contact (Parent, guardian or closest relative to be notified in case of emergency)

Name

 

 

Relationship to Applicant

 

 

 

 

 

 

Mailing Address (Number and Street)

City

State

Zip Code

 

 

 

 

 

(Area Code) Pager

(Area Code) Cell/Mobile Phone

(Area Code) Day Phone

(Area Code) Night Phone

 

 

 

 

 

Unit Commander Name and Grade

Unit Name

 

 

 

 

(Area Code) Unit Commander Day Phone

(Area Code) Unit Commander Night Phone

 

 

 

 

 

 

CAPF 161, JUN 13

OPR/ROUTING: HS

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Write the expected particulars in the Mailing Address Number and Street, City, State Zip Code, Emergency Contact Parent guardian, Name, Relationship to Applicant, Mailing Address Number and Street, City, State Zip Code, Area Code Pager, Area Code CellMobile Phone, Area Code Day Phone, Area Code Night Phone, Unit Commander Name and Grade, and Unit Name part.

capf 161 pdf Mailing Address Number and Street, City, State Zip Code, Emergency Contact Parent guardian, Name, Relationship to Applicant, Mailing Address Number and Street, City, State Zip Code, Area Code Pager, Area Code CellMobile Phone, Area Code Day Phone, Area Code Night Phone, Unit Commander Name and Grade, and Unit Name blanks to complete

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