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Be Careful Out There Workplace Safety Grant Form

Please fill out the information below as completely as possible.

  1. Applicant must be a current WCF Insurance policyholder
  2. A completed application must be submitted by June 1 at 8 a.m. Applications may be submitted by mail, email, or online.
    Mail: WCF Insurance
    Workplace Safety Grant Program c/o Rachel Jepperson
    100 W Towne Ridge Pkwy
    Sandy, UT 84070
  3. Implementation of the agreed upon purchases must be completed within one calendar year from the date the grant recipient is notified of grant approval.
  4. Successful grantees may be audited by the WCF Safety and Health team to ensure implementation of the agreed upon expenditures.
  5. Successful grantees will work closely and cooperatively with the WCF Safety and Health team to ensure the best outcome.

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