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ORS breadcrumbDOHS > Employee Health & Safety > In Focus! > Photo Submittal Form

Photo Submittal Form

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First Name: *
Last Name: *
City: *
State: *
Email Address: *  
Choose a Photo: *

Important: Photos submitted should be in .jpg file format and no larger than 3 MB.
Consent Form:
(if applicable)

Important: Consent form submitted should be in .pdf file format.
Verify you have read the contest rules

 

Collage of Work Safety Images