Contact requesting service. This will also be the contact that receives notification if a complaint has been received unless a different contact is listed below.
Contact that will receive notification a complaint has been submitted if different than the above contact.
Please list the physical address you would like your consult to take place at.
You will be issued 4 posters for the first 50 employees then 2 per each additional 50. Additional posters will be billed at $2 each additional poster.
You will be issued a wallet card for each employee and ten percent additional. Additional wallet cards will be billed at .5 cents each per additional wallet card.
The flat fee for the service is $300 per year, plus .50 cents per worker. You will be invoiced by wafla accordingly.