School of public health and community medicine Department of environmental health University of Washington
CONTINUING EDUCATION NORTHWEST CENTER REGION X OSHA FAQ CONTACT US SEARCH
MISSION ONLINE TRAINING ONSITE TRAINING CERTIFICATE SURVEY LISTSERV LINKS

Pacific Northwest OSHA Education Center
Electronic Card Request Form
Outreach Training Program Reports
--To view requirements for Construction, click here
--To view requirements for General Industry, click here
--To view requirements for Maritime, click here
--(please fax or mail maritime requests)

 
First name Last name
Organization
Address
City State Zip code
Phone
E-mail
Trainer ID #:

Your Completed Trainer Course(s):

    

         


Your Trainer Card Expiration Date:


Course You Taught:

10 hour Construction

30 Hour Construction

10 Hour General Industry

30 Hour General Industry

16 Hour Disaster Site Worker

 

Course Information: (Check All that Apply)


(age 18 or less)

Ending date of course:
*Please do not submit card request before course is completed
Number of students:
Student names (May copy & paste)


List topics covered and hours spent on each
for example: Intro to OSHA - 1 hr, Electrical - 1 hr,
and so on... (you can copy and paste from a text file)

*Please make sure your submissions total 10 or 30 hours
--To view requirements for Construction, click here
--To view requirements for General Industry, click here

* If this is your first request, please fax (206-685-3872) or mail a copy of your certificate or trainer card to:

Pacific Northwest OSHA Education Center
ATTN:  Outreach Administration
4225 Roosevelt Way NE, Suite 100
Seattle, WA 98105
 

 

For questions or concerns, please contact:
Pacific Northwest OSHA Education Center: (206) 685-3089 or (800) 326-7568, Fax: (206) 685-3872, e-mail:ce@u.washington.edu
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