Enroll Your Company - Safety Council of Greater Columbus

Due to COVID-19, we understand that there will be no rebate incentive program for FY22 (July 2021 – June 2022). We are enrolling our company to continue to learn and grow our safety and health education and make our workplace safety. We desire to join in 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 understand that there is a yearly member fee of $100 to participate in the Safety Council of Greater Columbus.

Enroll Your Company

Company Name *

Address *

Address

City

State

Zip/Postal

Phone *

Fax

Average Number of Employees *

North American Industry Classification Code (replaced the SIC Code) *

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BWC Policy Number *

Full Name *

Title

Email *

Signature *

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