Make-up Report Form | Painters District Council 14

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Make-up Day Report Form

Required when an employee requests to make up a missed day of work, 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 Jobsite 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 #:

Notes:

3 Employee Information

Employee Name:

SSN (last 4 ):

Classification:

Local Number:

Date Missed:

Make-up Date:

Start Time:

Hours Missed:

Make-up Hours:

Add new employee

Painters district council 14

Make-up Day Report Form

1 Employer Information

2 Jobsite Information

3 Employee Information

*Please review all information before submitting this form. (**Fields with * are required**)*

IUPAT MEMBER CHECK-IN

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Make-up Day Report Form

1 Employer Information

2 Jobsite Information

3 Employee Information

Please review all information before submitting this form. (Fields with * are required)

IUPAT MEMBER CHECK-IN

*Please review all information before submitting this form. (**Fields with * are required**)*