Skip to main content

OSHA 10 request form

Social share icons
DOCUMENT
osha-10_online_sign-up.pdf
osha-10_online_sign-up.pdf

You Must be in good standing with Local 4.

You must complete the OSHA-10 training within 30 days of initial LOG-IN

In order to get reimbursed you must show verification of payment and Completion certificate, which can be scanned/emailed to: 

Marc- marcbjac@gmail.com

or FAXED to: 626-329-0854                                            

or MAILED to:

JAC

attn: Marc Blackledge

2679 Sierra Way Suite E

La Verne, CA 91750