Division of Labor and Industry


Request a Survey Form - MOSH Consultation Services - Maryland Occupational Safety and Health (MOSH)


The MOSH Consultation Request for Assistance is available in Microsoft Word format below. If you would like to request Consultation Assistance and meet the following criteria:

  • are an authorized representative of management; " have less than 250 employees in Maryland and less than 500 employees nationwide; and
  • have no current MOSH Compliance actions open.

Download the request form (Word document, 44KB, download Word viewer for free). Please print, complete, and mail or fax the form to the address indicated at the bottom of the form.