JOB REPORT FORM

To be completed for all jobs over $50,000 in the masonry and field within 48 hours of the project starting.

Article VII - 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 ____________

Submitted by _______________________________  Date _________________________

Submitted by ___________________ Date _______________________