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Safety Rep's Resignation Form
3.
Details
CSP Number
*
Date of Resignation
(Required.)
*
Name
(Required.)
Surname
Forename
Name of Employer
Do you have a successor?
Yes
No
Not Sure
If Yes, please give the following information:
Name of Successor
Name of Workplace
Workplace Address
email Address (if known)
Would you consider taking up the role of safety rep again in the future?
Yes
No
Not Sure
If you are currently booked on an induction course, which date?
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