Safety Recognition Award Form

Safety Recognition Award Nomination Form

Sponsored by the UW-Stout Safety and Workers' Compensation Committee

Anyone from the UW-Stout community may nominate any UW-Stout employee.

Nominations are due by March 31.

When you press the Submit button, your nomination form will be electronically delivered to the ASLS Division Office. 

 

What makes you believe the nominee should be recognized for safety performance?