contract between the applicant and the Workers Compensation Board of Manitoba. Signatory Fill in below Name Title Host Institution Business Mailing Address Telephone Number Email Other contact Information Signature Date AGREEMENT FROM WORKPLACE SAFETY AND HEALTH COMMITTEE Where Applicable The undersigned on behalf of the WS&H Committee named below consents to the undertaking of the project (named above) and promises to give our full cooperation to ensure its successful completion within the time period specified in the contract between the applicant and the Workers Compensation Board of Manitoba. Principal Applicant Fill in below Name Title Host Institution Business Mailing Address Telephone Number Email Other contact Information Signature Date PART 2: DESCRIPTION OF WORKPLACE INNOVATION PROJECT 2.1 PROJECT DESCRIPTION Please refer to Section 4.5 Part 2 of the Applicant Information Document
contract between the applicant and the Workers Compensation Board of Manitoba. Signatory Fill in below Name Title Host Institution Business Mailing Address Telephone Number Email Other contact Information Signature Date AGREEMENT FROM WORKPLACE SAFETY AND HEALTH COMMITTEE Where Applicable The undersigned on behalf of the WS&H Committee named below consents to the undertaking of the project (named above) and promises to give our full cooperation to ensure its successful completion within the time period specified in the contract between the applicant and the Workers Compensation Board of Manitoba. Principal Applicant Fill in below Name Title Host Institution Business Mailing Address Telephone Number Email Other contact Information Signature Date PART 2: DESCRIPTION OF WORKPLACE INNOVATION PROJECT 2.1 PROJECT DESCRIPTION Please refer to Section 4.5 Part 2 of the Applicant Information Document
6-Workplace%20Innovation%20Application.docx