Ohio Union Laborers' Apprenticeship Work Report

Please submit 1 form per month

(*) Indicates Required information

Hitting the back button may result in lost progress

First Name *

Last Name *

Last four of your Social *

Address *

City *

State *

Zip Code *

Local Union Number *

Phone # *

Email *

Month *

Contractor *

Project Name *

Please be specific on the type of work performed. Example: Concrete placement, Mason Tending, Asphalt placement *

Supervisor *

Supervisor's phone # *

Number of hours worked: *

Did you work for more than one contractor this month? *

Yes

Contractor

Job Site

Supervisor

Supervisor phone #

Number of hours worked:

**Please make sure you hit calculate at the bottom of this form

Current Total:

0.00