Division of Labor and Industry
MOSH Speaker Request Form
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Speakers are provided for professional and trade associations, employer and employee organizations, and other groups, and generally are not available for individual employers. A minimum of 20 participants is required.
The presentations provide an overview of the topic requested and are not a substitute for training required by MOSH standards.
Instructions:  [ html / pdf ]
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Personal Information:
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First Name
Last Name
Zip Code
How did you hear about this?
Organization Information:
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Organization Name
Employer Type
Employer Primary Business
Number of MD Employees Less Than 250?
Number of National Employees Less Than 500?
Event Details:
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Event Date
Start Time
End Time
Proposed Topic
Number of Attendees
Audience Type
Event Purpose
Special Requirements

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Please direct any questions about Maryland Occupational Safety and Health (MOSH) to mosh@dllr.state.md.us.
Please direct any questions about the Division of Labor and Industry to dli@dllr.state.md.us.
Questions or comments regarding the DLLR website may be directed to webmaster@dllr.state.md.us.

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Copyright © 2005 Maryland Department of Labor, Licensing & Regulation (DLLR)

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Updated 12/11/2006