Application Form: 2021 BC Regional Health & Safety Conference

The PSAC is committed to ensuring that the accessibility needs of our members are respected. If you have any persistent or permanent physical, mental, learning or sensory impairment as recognized under the Canadian Human Rights Act and have additional needs that you require accommodation for, please complete the attached request for accommodation of a disability section below. (i.e. special diet; use of a wheelchair, walker or crutches; blind or visually impaired; deaf or hearing impaired; need assistance leaving room in an emergency; allergies). You may also be required to provide relevant medical documentation that will assist us in responding to your request. This form is confidential when completed and the information contained within will not be disclosed except where necessary to respond to your request for accommodation.