Workplace Safety Poster Request Form

Workplace Safety Poster Request Form

The MHA is offering members a complimentary selection of workplace safety posters to communicate the consequences of committing physical harm toward healthcare workers or hospital property. Available are a variety of poster designs that are laminated and can be affixed behind any plastic or plexiglass barrier. Both 11” x 17” and 8.5” x 11” sizes are available. To request your materials, please complete this form. While there is no limit on the quantity of materials that may be requested, we do ask that you allow five working days for processing and delivery. If you have any questions, please contact the MHA.

Requestor's Name(Required)

Please indicate the quantities needed below for each poster design:

Poster 1
Total amount of 11" x 17" posters requested (Increments of 10):
Total amount of 8.5” x 11” posters requested (Increments of 10):

Poster 2
Total amount of 11” x 17” posters requested (Increments of 10):
Total amount of 8.5” x 11” posters requested (Increments of 10):

Poster 3
Total amount of 11” x 17” posters requested (Increments of 10):
Total amount of 8.5” x 11” posters requested (Increments of 10):

Poster 4
Total amount of 11” x 17” posters requested (Increments of 10):
Total amount of 8.5” x 11” posters requested (Increments of 10):

This collection includes ten different variations of the design. Each order of ten (10) posters will include one poster for each image.

Poster 5 Poster 6 Poster 7

 Poster 8 Poster 9 Poster 10 

Poster 11 Poster 12 Poster 13 

Poster 14

Total amount of 11” x 17” posters requested (Increments of 10):
Total amount of 8.5” x 11” posters requested (Increments of 10):

Shipping Information

Name(Required)
Shipping Address(Required)
This field is for validation purposes and should be left unchanged.