WP E-Signature by Approve Me - Sign Documents Using WordPress -

Supervisor's Injury Form Signature

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Timestamp

Audit

July 13, 2021 10:37 am MDT

Supervisor's Injury Form Signature Uploaded by Jade Shelley - jade.trbexc@gmail.com IP 63.78.116.152