Mine Safety and Health Administration
   MSHA - Protecting Miners' Safety and Health Since 1978

Notification of Representative of Miners
Step 1: Mine Information > Step 2: Representative Information > Step 3: Add Alternative Representatives > Step 4: Add Designated By > Step 5: Summary

Step 1: Mine Information
 I wish to designate a representative of miners for the following mine:

*MSHA Mine ID:    


(* Required Fields)
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