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PDFWAC 296-910-015

Grant application.

(1) Eligible employers must apply for a small employer emergency safety grant using the department's grant application process.
(2) The application information will include, but not be limited to:
(a) Name of employer;
(b) For businesses, name and contact information of owner(s); for other organizations, name and contact information of executive leader(s);
(c) Industry or type of business or organization;
(d) Employer address, including the address within the area of the declared emergency where employees work;
(e) Employer's federal employer identification number;
(f) Employer's Washington unified business identifier (UBI) number;
(g) Employer's workers' compensation account number;
(h) Number of FTEs;
(i) Amount of funds requested;
(j) Purpose of requested funds, including detail of the equipment, gear, or capital improvement they intend to purchase to comply with new safety and health requirements;
(k) Whether other funding has been received, is anticipated, or is being applied for from another grant, government program, or insurance contract.
[Statutory Authority: RCW 51.04.180. WSR 22-04-092, ยง 296-910-015, filed 2/1/22, effective 3/4/22.]
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