Enroll with the Safety Council


		Enroll your company We are in accord with an effort to reduce the number of accidents occurring to our employees, and our desire to enter our company in the Safety Council of Greater Columbus. We will cooperate with the Safety Council of Greater Columbus in furnishing reports requested and will make every effort to have a representative of our company attend the meetings sponsored by the Safety Council of Greater Columbus. We also acknowledge that we have read and that we understand the requirements for participation in the BWC incentive program. We know that we must attend, or send a representative to, at least ten regular meetings, one of which must be attended by a CEO, or top-ranking management person, and submit two semi-annual reports as required by the SCGC. Company Name: Address: City: State: Zip: Phone: Fax: Average Number of Employees: North American Industry Classification Code (replaced the SIC Code): click here to view NAICS codes BWC Policy Number: Full Name: Signature (By checking this box, I agree to adhere to the information above) Title: E-mail: