Company Name
Contact Name
Company Address
Mailing Address (if different)
Email Address
Phone Number
GST Number
PST Number (if exempt)
Please provide applicable WorkSafeBC and/or WCB AB Clearance Letter(s) as well as a current Certificate of Insurance:
WorkSafeBC Clearance Letter
WCB AB Clearance Letter
Certificate of Insurance
I have read and understand thecompany policy
