Workers Compliance Agreement (V3.0)






























(NOTE: On electronic forms, your typed signature has the same effect as your written signature.)

Please fill this page out by
typing right into the boxes.

Once completed, print page 1 from your computer, sign and date it, and mail it to your local director.
(Addresses are below.)

This will notify your local director you have completed the Child Protection Policy steps.

Thanks so much.



Eastern Area
P.O. Box 2004
Sault Ste. Marie, MI 49783


North Central Area
P.O. Box 1208
Sault Ste. Marie, MI 49783


South Central Area
N 4323 Traders Mine Rd
Iron Mountain, MI 49801


Western Area
P.O. Box 183
Calumet, MI 49913


Other and State Wide
P.O. Box 1208
Sault Ste Marie, MI 49783