SafeCare BC Member Proxy Form 2026

Proxy Form

Unable to attend the AGM? Please complete this form to appoint a proxy to vote on behalf of your organization to vote on the relevant matters at the AGM on your behalf. Kindly submit by March 3.
To: SafeCare BC Health and Safety Association (the "Association")

I, the undersigned being a voting member of the Association, hereby appointsFirst Name of Your Representative* Last Name of Your Representative*as a proxy to attend and vote on my behalf at the Annual General Meeting on March 10, 2026.
Signed this day of

MonthDayYear
Date
Authorized Signatory / Voting Member (Your Name)

Your First NameYour Last Name
Your Title / Position
For example: Executive Director
Organization
For example: ABC Care Home
Should be Empty: