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Workplace Safety Grant Contractual Documents and Forms

Prospect DIA Workplace Safety Grant applicants must download the forms below, and upload the completed documents upon submitting their application. Please email candpgms@mass.gov if you have questions about the state procurement process.

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Contractual Documents

Open PDF file, 173.37 KB,  FY 2024 Workplace Safety Grant Contractual Document Checklist (English, PDF 173.37 KB)
Open PDF file, 200.44 KB,  Workplace Safety Grant FY24 Fillable MA W9 (English, PDF 200.44 KB)
Open PDF file, 2.54 MB,  Workplace Safety Grant FY24 Standard Contract Form (English, PDF 2.54 MB)
Open PDF file, 277.21 KB,  Workplace Safety Grant FY24 Electronic Funds Transfer Form (English, PDF 277.21 KB)
Open PDF file, 188.18 KB,  Workplace Safety Grant FY24 Contractor Authorized Signatory Listing Form (English, PDF 188.18 KB)
Open PDF file, 238.82 KB,  DOR Certificate SAMPLE (English, PDF 238.82 KB)

Other Workplace Safety Grant Resources

Open PDF file, 906.31 KB,  Workplace Safety Grant FY24 Application Instruction Guide (English, PDF 906.31 KB)
Open PDF file, 531.09 KB,  FY2024 Workplace Safety Grant Training Providers (English, PDF 531.09 KB)
Open PDF file, 149.1 KB,  FY2024 Workplace Safety Grant Training Topics (English, PDF 149.1 KB)

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