Movement for Bureau of Implemented Opinion Compensation (MBIOC)

Opinion submission Form (Sample only – your company will have a more tailored one)

Name of Employee ------------------------------- ------------

Address ---------------------------------------------------------------------------------------------------------------

Tel: --------------------------------------------- Email ------------------------------------------<

Present position or title

Name Of Employer --------------------------------------------------

MBIOC number of Member Company ---------------------------------

Please be as detail as possible, some things may not be applicable.

Present method:-------------------------------------

What is wrong with the method

Suggested Method

What are the Advantages

Estimated annual value ---------------------------

Date submitted to employer ------------- Date submitted to MBIOC

What methods are you using to send this to MBIOC Email, Fax, Traditional mail

Signed by ---------------------------------------------------- Position ---------------------------

By signing this you agree and understand that you are making a legal claim and will be held responsible for any fraudulent testimony.

Please send form to: MBIOC , P.O. Box 34147, 126 Kingsway Garden Mall, Edmonton, Alberta T5G 3G4