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)