When you hit submit, this form will be transmitted to J.A. Montgomery Risk Control who will then forward to Qual-Lynx. You should also print a copy for your records and Safety Committee review. Please refer to the instructions on the JIF website, for mailbox, email or fax addresses.
Clicking Submit will transmit the form to J.A. Montgomery and a message will appear saying Thank you your submitting this form. If you do not receive this message, then hit Submit a 2nd time.