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Instructor Forms | Evergreen Safety Council

Instructor Forms

Flagger Instructor Certification

ONLY Current flagger instructors can use forms and links on this page.

Flagger Roster Forms:

Washington

Instructors can now fill out and submit roster forms electronically. This downloadable roster form can be filled out on your computer or
by hand and then be printed or saved electronically and submitted to Evergreen Safety Council by mail, fax, or by email. The form is a PDF
and will require Acrobat Reader or the equivalent to open.

1. Open the Washington Flagger Roster Form. This will
open in another tab of your browser. Depending on your browser, you may need to download the file itself to your computer and then open it in Acrobat
Reader or the equivalent to be able to edit it. Once open you will be able to type information into the fields.

2. Fill out the form on your computer. Note that you can quickly move between fields by using your TAB key.

3. Save it locally under any name you choose. We suggest including date and location in the name so you can reference it later if desired.

4. You can attach the saved file to an email and send it to flagger@esc.org.
5. We would prefer the form emailed to us in it’s original format as you have saved it, however, you can print the filled out form and fax it
to 425-814-3930 or mail it to:

Evergreen Safety Council
Attn: Roadway Programs
12545 135th Ave NE
Kirkland, WA 98034

 

Oregon

Coming soon.

 

Idaho

Instructors can now fill out and submit roster forms electronically. This downloadable roster form can be filled out on your computer or by hand
and then be printed or saved electronically and submitted to Evergreen Safety Council by mail, fax, or by email. The form is a PDF and will require
Acrobat Reader or the equivalent to open.

1. Open the Idaho Flagger Roster Form. This will open in another tab of your browser. Depending on your browser, you
may need to download the file itself to your computer and then open it in Acrobat Reader or the equivalent to be able to edit it. Once open you will be
able to type information into the fields.
2. Fill out the form on your computer. Note that you can quickly move between fields by using your TAB key.
3. Save it locally under any name you choose. We suggest including date and location in the name so you can reference it later if desired.
4. You can attach the saved file to an email and send it to flagger@esc.org.
5. We would prefer the form emailed to us in it’s original format as you have saved it, however, you can print the filled out form and fax it to
425-814-3930 or mail it to:

Evergreen Safety Council
Attn: Roadway Programs
12545 135th Ave NE
Kirkland, WA 98034

 

Replacement Card Request Form

If the College, Agency, or Instructor damages or voids a Flagger card:

1. Open the Replacement Request Form.
This will open in another tab of your browser. Depending on your browser, you may need to download the file itself to your computer and then open it in Acrobat
Reader or the equivalent to be able to edit it. Once open you will be able to type information into the fields.

2. Fill out the form on your computer. Note that you can quickly move between fields by using your TAB key.
3. Print the completed form and return it along with your voided/damaged Flagger cards and payment of $5.00 per voided/damaged Flagger card to:

Evergreen Safety Council
Attn: Roadway Programs
12545 135th Ave NE
Kirkland, WA 98034

Once we have received the packet from you, we will process the request and send you your replacement Flagger cards.

Note: Forms without attached flagger cards will not be processed.

Pre-Class Notification

Use the form below to submit notification to Evergreen Safety Council of your up-coming classes.

* indicates required field

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