JOB REPORT FORM

To be completed for all jobs over $50,000.00 in the masonry and field within 48 hours of the project starting.

Article VIII - 8.17 C (in the working rules book) -- Fax #630-941-2301

PLEASE PRINT CLEARLY

Name of Contractor Reporting ________________________________________________________

Job Name ________________________________________________________________________

Job Location ______________________________________________________________________

Local Jurisdiction ___________ and/or ____________ Start Date _______________________

General Contractor Name ___________________________________________________________

General Contractors Phone Number _______________________ or __________________________

Number of Apprentices ________________ Number of Journeymen/women ___________________

Name of Contractor Reporting ________________________________________________________

Job Name ________________________________________________________________________

Job Location ______________________________________________________________________

Local Jurisdiction ___________ and/or ____________ Start Date _______________________

General Contractor Name ___________________________________________________________

General Contractors Phone Number _______________________ or __________________________

Number of Apprentices ________________ Number of Journeymen/women ___________________

Name of Contractor Reporting ________________________________________________________

Job Name ________________________________________________________________________

Job Location ______________________________________________________________________

Local Jurisdiction ___________ and/or ____________ Start Date _______________________

General Contractor Name ___________________________________________________________

General Contractors Phone Number _______________________ or __________________________

Number of Apprentices ________________ Number of Journeymen/women ___________________

Submitted by _________________________________ Date ________________________________