Jobsite Report Form

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Due when awarded any new project, prior to work beginning on site, in accordance with the requirements of the CBA

1 Employer Information

Employer:

Employer Number:

Contact Name (Owner, Supt, Project Mgr):

Contact Email Address:

Contact Phone Number:

Employer Address:
Please select proper location address from the dropdown options

Street Number:

Street Name:

City:

State:

Zip Code:

County:

Submitted By:

2 Project Information

New Construction?

YesNo

Client or General Contractor:

Jobsite Name:

Property Owner:

Jobsite Address:
Please select proper location address from the dropdown options

Street Number:

Street Name:

City:

State:

Zip Code:

County:

Jobsite Supervisor Name:

Craft:

Job Type:

Public/Private:

Floor, Suite, Apt or Lot #:

Length of Project:

Estimated Start Date:

Notes:

3 Subcontractor Information

Is this job being subcontracted?

YesNo

Employer:

Employer Number:

Contact Name (Owner, Supt, Project Mgr):

Contact Email Address:

Contact Phone Number:

Employer Address:
Please select proper location address from the dropdown options

Street Number:

Street Name:

City:

State:

Zip Code:

County:

Amount Subcontracted:

Painters district council 14