Safety Improvement Fund Training Application
This program allows employers to apply for up to $10,000 per fiscal year (July 1 – June 30). The funds must go towards equipment or training to improve safety within the company.

Eligibility Requirements
The employer must be in good standing with Workers’ Compensation and the Secretary of State’s office
All disallowed items can be found in the WC Rules & Regulations, Chapter 11, Section 4(b)(vi)

Items Needed to Complete the Application
All pages must be filled out
Product information for the equipment must be provided OR detailed course information for the training
Price quotes must be included with the application

Application Instructions
Complete the application and submit to the Risk Management team via mail or email
• Once Risk Management has received your application, employers should submit Vendor Management forms to ensure a smooth payment process upon approval
Applications are reviewed on a monthly basis; deadlines can be found on the Risk Management website

Letter of Agreement (LOA) Process
• Upon approval, the Risk Management team will draft the Safety Improvement Fund LOA
• Risk Management will keep employers informed of the LOA progress, but employers should be prepared to wait 5-7 weeks post-application approval to receive the LOA for signature
• Once the LOA is fully executed (signed by the employer and signed by the Department of Workforce services), payment will be issued as soon as possible

Reporting Requirements
• Invoices will be due ninety (90) days post LOA execution
• Reporting on injury statistics will be due at three hundred and sixty-five (365) days post LOA execution
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