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OSHA Training Corporate Billing Application

I request a OSHA University/OSHAu.com business account authorization code for online training courses. I understand that completion of this application will result in my company/organization receiving an authorization code that my employees can use to access training courses via a computer with Internet access anytime anywhere.

After processing this application, OSHA University/OSHAu.com will issue my company an authorization code. I understand that it is my responsibility to inform current/prospective employees of this code and that I am responsible for payment of all courses taken by trainees via this code.

Please submit the following information. Allow 5 days for processing. Authorization codes will only be given to the contact person listed on this form and is subject to change.


    
Company Name
Type of Business



FEI No. or Local State Tax ID
Number of Employees
Contact Person
Mailing Address
City
State
Zipcode
*Phone
Fax
*Email
   
Enter Security Code Security Code