Apply - H2 WorkForce

Thank You for Your Interest!

We need to know a little more about your company to assess its safety and regulatory climate. Please answer the following questions:

What is your company's full, legal name?

Address Line 1

Address Line 2

City

State

ZIP Code

How many OSHA citations has your company received in the past 5 years?

How many public health citations has your company received in the past 5 years?

Who must wear a face mask to protect against COVID-19?

All Employees and Visitors

Only Unvaccinated Employees and Visitors

None — Masks are not required for any employee or visitor

Does your company require employees receive a COVID-19 vaccine or valid medical/non-medical exemption?

Yes — Employees must be vaccinated or have an exemption.

No — There is no requirement to be vaccinated.

Where should people send invoices and checks?

Accounts Payable Contact Name

Accounts Payable Email

Accounts Payable Phone

Billing Address Line 1

Billing Address Line 2

City

State

ZIP Code

I certify that my workplace is a safe place for external employees to work.

By selecting this box you are certifying that your company adheres to the rules and regulations set forth in compliance with federal and state safety and health guidelines.

I certify that the above responses are accurate to the best of knowledge.

Your Full Name

Your Work Email

Your Work Telephone

H2 WorkForce will never sell your telephone number or email address to a third party without your prior authorization.

Password

Confirm Password

Your password must have:

6 or more characters
At least one non-alphanumeric character
At least one digit (0 - 9)
At least one lowercase letter (a - z)
At least one uppercase letter (A - Z)

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