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Audit Registration
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Legal Company Name
Full Company Address
Certifying Partner (Enform, AASP, ACSA)
Company Contact Name
*
First
Last
Contact Phone Number
Contact Email
*
Proposed audit start dates
Province’s Included in the Audit
WCB Account Number (AB)
WCB Industry Code (AB)
Scope of work Performed (AB)
Additional Account Number (BC)
WCB Industry Code (BC)
Scope of work Performed (BC)
Additional Account Number (SK)
WCB Industry Code (SK)
Scope of work Performed (SK)
Additional Account Number (MB)
WCB Industry Code (MB)
Scope of work Performed (MB)
Previous audit Dates
Previous audit Scores
Existing COR Number AB
Existing COR Number BC
Existing COR Number SK
Existing COR Number MB
Alberta
British Columbia
Saskatchewan
Manitoba
Total No. of Active Worksites
Total Number of Employees
Total Workers Breakdown
Locations
Sr. Manager
Mid. Managers
Supervisors
Workers
Locations
Sr. Manager
Mid. Managers
Supervisors
Workers
Locations
Sr. Manager
Mid. Managers
Supervisors
Workers
Locations
Sr. Manager
Mid. Managers
Supervisors
Workers
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Phone
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