Healthy Worksite Awards Application

The Healthy Worksite Award Applications are CLOSED for 2009.

There is an application fee of $60.00 (this helps cover some of the cost of the awards and the luncheon).  Please make checks or money orders payable to the” Utah Council for Worksite Health Promotion,” and

Mail to:
Utah Council for Worksite Health Promotion
Attn: Brett McIff
UDOH/CFHS/HP,
PO Box 142107,
Salt Lake City, UT 84114-2107

To pay with a credit card, contact Luz Dominguez at the Rocky Mountain Center for Occupational and Environmental Health at 801-581-7909.  Luz will take your credit card information over the phone.  A free consulting service will be provided to companies that desire assistance in filling out the application. 

Please contact Brett McIff at bmciff@utah.gov or (801) 538-9362 for assistance.

Outcome Evaluations

Please fax the completed Outcome Evaluation Form (1 for Gold and at least 2 for Platinum) to
(801) 538-9495 Attn: Brett McIff.

To received a Word version of the Outcome Evaluation Form please email Brett McIff at bmciff@utah.gov.