IISC Hazard Control Safety Award Submission Form
IISC Member companies can submit up to 5 projects per location within the Iowa-Illinois membership territory. Each member company is allowed one plaque per location. If you would like additional plaques for one location (ie, for different departments) please contact us for information on costs.
This is how your company name will be listed in any awards list, in publications, and printed on your plaque or any other awards you may receive (if applicable).
I need (choose one):
New Plaque (for first time applicants or your current plaque is full)
Unsure (we will check for you and order accordingly)
Mailing Address: If you are unable to pick up your award at the Awards Luncheon
Street Address Line 2
State / Province
Postal / Zip Code
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Please only submit PowerPoint files. PPT slides should be on a blank white slide. Please include company name in the file name.
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