Connecticut Department of Labor
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Consultation Request

Consulting Services offers no-cost onsite safety and health assistance to Connecticut employers for help in recognizing and correcting safety and health problems in their workplaces. Consulting Services provides consultations in the areas of safety, industrial hygiene, ergonomics, injury and illness prevention plans, and new business assistance. Each consulting visit is viewed by CONN-OSHA as an opportunity to help that employer incorporate the  key elements of an effective workplace injury and illness prevention plan into the way the business is run over the long term.

The consultation request must be initiated by the employer or a member of management.

Please complete the following information. A staff member will contact you in the future to discuss the consultation program further.
Company Name:
Contact Person:
Mailing Address:
City, State:       Zip Code:
Site Address:
(If Different)
City, State:       Zip Code:

Phone Number (Include area code):   Extension: 

 E-mail Address: 

Number of employees: 

Type of employer:  Public  Private

Union: Yes   No  Union Name: 

Nature of Business: 

Nature of Request:


Last Updated: February 04, 2014

200 Folly Brook Boulevard, Wethersfield, CT 06109 / Phone: 860-263-6000

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