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File Name: ccohs_ca---contributor_form_e.asp
                    MSDS CONTRIBUTOR INFORMATION

MSDS DATABASE COLLECTIONS

The MSDS database contains the complete unaltered text of manufacturer鈥檚 and suppliers鈥? MSDS collections supplied
voluntarily to CCOHS.
Collections will be accepted for inclusion in the CCOHS MSDS database on the understanding that:
鈥? the contributor has prepared the MSDSs and is responsible for their content and accuracy;
鈥? the complete MSDS collection is provided to CCOHS (preferred);
鈥? new and revised MSDS are provided on a regular schedule;
鈥? the MSDS database is publicly distributed on the WWW, and online electronic networks;
鈥? the collection may be withdrawn from the database at any time on the contributor鈥檚 request.


CONTRIBUTOR INFORMATION

In order for CCOHS to administer the database and ensure currency and completeness, the following contributor information
is needed. This information is for internal CCOHS use only and may differ from that on the Material Safety Data Sheets.

Company Name

Address

Telephone Fax

Approximate no. of
MSDSs in collection

Contact Person
(liaison with CCOHS)

Title

Telephone E-mail

Signature

Please feel free to provide additional information that may be useful, for example other contact persons.


FURTHER INFORMATION

For further information, or to discuss adding your MSDS collection to the CCOHS MSDS Database, please contact:
Sheri-Lynn Perry Alan Powell
905- 572-2981 Ext. 4573 905- 572-2981 Ext. 4556
E-mail: sherip@ccohs.ca E-mail: alanp@ccohs.ca
Toll-free 1-800-668-4284 (in Canada & the US)
or, if you prefer, CCOHS can contact you about contributing to the CCOHS MSDS database.

Your Name

Company Name

Telephone E-mail


Return this completed form to: Canadian Centre for Occupational Health and Safety
135 Hunter Street East, Hamilton ON Canada L8N 1M5
Fax: 905-572-2206
E-mail: msds@ccohs.ca

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