JOB REPORT FORM

This form is to be completed and faxed to the Illinois District Council #1 office at

(773) 650-1906 for all jobs over $50,000 in Masonry within 48 hours of the project starting.

1) Name of Contractor Reporting:____________________________________________________________________

Job Name:__________________________________________________________________________________________

Job Location:_______________________________________________________________________________________

Local No.:_________________________________ County:_________________________________

General Contractor Name (if available):_______________________________________________________________

General Contractor Phone No. (if available):___________________________________________________________

No. of apprentices:________________________ No. of journeymen:________________________

2) Name of Contractor Reporting:_____________________________________________________________________

Job Name:__________________________________________________________________________________________

Job Location:________________________________________________________________________________________

Local No.:_________________________________ County:____________________________________

General Contractor Name (if available):_______________________________________________________________

General Contractor Phone No. (if available):___________________________________________________________

No. of apprentices:________________________ No. of journeymen:_________________________

3) Name of Contractor Reporting:_______________________________________________________________________

Job Name:__________________________________________________________________________________________

Job Location:_______________________________________________________________________________________

Local No.:_________________________________ County:____________________________________

General Contractor Name (if available):_______________________________________________________________

General Contractor Phone No. (if available):___________________________________________________________

No. of apprentices:________________________ No. of journeymen:_________________________

Submitted by:________________________________

Signature:____________________________________ Date:_________________________________________

Locals & Counties Covered by Illinois District Council No. 1, I.U.B.A.C.:

Local 20IL - Lake County

Local 21IL - Cook County, Will & Grundy Counties (East of I-55)

Local 27IL - DeKalb, Kane, Kendall, & McHenry Counties

Local 56IL - DuPage County (North of Butterfield Road)

Local 74IL - DuPage County (South of Butterfield Road), Will & Grundy Counties (West of I-55)