Get Request For Assistance Form - State Of Delaware - Department Of ...

Filling out the Request For Assistance Form for the State of Delaware's Office of Safety & Health Consultation can be a straightforward process if you follow the steps outlined below. This guide is designed to help users efficiently complete the necessary fields in the form while ensuring clarity and accuracy.

Follow the steps to successfully fill out the Request For Assistance Form.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the company name in the designated field. This information should reflect the official name of the company requesting assistance.
3. Fill in the mailing address and the site address where the work occurs. Ensure accuracy to avoid communication issues.
4. Provide a contact telephone number including area code. Optionally, include a fax number if applicable.
5. Enter a valid email address to facilitate timely communication regarding the request.
6. In the contact person section, write the full name and title of the person responsible for this request.
7. Describe the type of business and the products or services offered at the worksite in the provided space. Be thorough to give better context for the consultation.
8. If known, enter the Standard Industrial Classification (SIC) Code or the North American Industrial Classification (NAICS) Code that corresponds to your business.
9. Indicate the number of employees at the location, and also provide the total number of employees for the entire corporation.
10. Answer whether there is a recognized labor organization at the workplace by checking the appropriate box.
11. Select the type of survey requested by checking the relevant boxes. Note that separate visits may be made for each type checked.
12. If choosing a partial workplace survey, briefly describe the scope of the survey and any specific issues you wish to have addressed.
13. Review the statements regarding any ongoing OSHA enforcement actions and check applicable statements that apply to your situation.
14. Identify the category that prompted you to request assistance by checking the appropriate box.
15. Acknowledge your authority to make the request on behalf of your employer by signing and dating the form in the designated area.
16. Once completed, save your changes, and prepare to download, print, or share the form as necessary.

Start completing your Request For Assistance Form online now to access the help you need.