Department of Chemistry Safety Committee update.

Your name (person submitting this form)  

Your career acct login:  

Note:Use the ITaP directory to look up a person's career acct login.  The results will resemble these:   

Who is the supervisor (hiring/firing authority)?  

Career acct login of the person leaving (or has left) the safety committee? (or enter n/a)

Career acct login of the person who is becoming the new safety committee representative?  (or enter n/a)  

If this form seems inadequate to communicate the change you need to make, or for any other comments or questions.  send email  THANK YOU.