CAK Safety Council Enrollment Form 2019-2020

Sponsored by the BWC Division of Safety and Hygiene in cooperation with the North Canton Area Chamber of Commerce

MUST BE RECEIVED BY JULY 31, 2019 to be eligible for the BWC 2019-2020 Program

In signing this enrollment form, the employer makes a commitment to send representatives to the majority (a minimum of 10) safety council meetings and to submit semi-annual reports by the deadline dates.

$ 125 fee includes 12 regular monthly breakfasts.
Additional meeting and workshop opportunities throughout the year may or may not incur added charges.

Make checks payable to: North Canton Area Chamber of Commerce
If paying by credit card call the NC Chamber at 330.499.5100

Canton Akron Safety Council
North Canton Area Chamber of Commerce
121 South Main Street North Canton 44720
330.499.5100
Fax 330.499.7181
[email protected]

Attendance Requirement
Any representative of the employer is welcome to attend and meet the eligibility requirement. A company CEO MUST attend at least one meeting per BWC calendar year. This would be the highest ranking official in the company. Any number of representatives are welcome to attend the Safety Council meetings. A person can only represent ONE policy number with their attendance at a meeting. ALL attendees must sign-in at the meeting to register attendance.

DOWNLOAD PDF FILE OR FILL OUT THE FORM BELOW.

CAK Safety Council Enrollment Form 2019-2020
Please fill out the form below with your information and payment option. PLEASE NOTE: *All fields are required.

  • If more than on BWC number for different divisions, please use separte forms for each.
  • In signing this enrollment form, the employer makes a commitment to send representatives to the majority (a minimum of 10) safety council meetings and to submit semi-annual reports by the deadline dates.
    Make checks payable to: North Canton Area Chamber of Commerce If paying by credit card call the NC Chamber at 330.499.5100