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U.S. Department of Health and Human Services
U.S. Department of Health and Human Services

Become a Workplace Partner

Organization Information
Provide your company or organization name as you would like it to appear on your WPFL certificate and on the membership roster of the Workplace Partnership for Life (e.g., General Motors, United Autoworkers).
The full URL of your organization's website including http(s).
Contact Information
Please do not enter personal information.  Only enter your organization information.
The full name of a person who we can contact with respect to becoming a workplace partner.
Address