| PLUMBERS LOCAL #1 JOB (GREEN) CARD INFORMATION FORM |
| This Section To Be Completed By Contractor Requesting Job Card | |
| Request Date | |
| Plumbing Contractor | |
| General Contractor | |
| Job Site Full Address - Include Floor Number(s) | Borough ______________________________________________ |
| Job Type | Check One [ ] New |
| Check One [ ] Retail ___________________________________ |
|
| Job Foreman Name and Telephone Number |
Foreman ______________________________________________
Telephone No. _________________________________________ |
| Job Start Date | |
| Sewers | Yes [ ] No [ ] Explain _________________________________ |
| Water Mains | Yes [ ] No [ ] Explain _________________________________ |
| Bathroom Accessories and Grounds | Yes [ ] No [ ] Explain _________________________________ |
| Tub and/or Shower Doors | Yes [ ] No [ ] Explain _________________________________ |
| Employee Signature | _____________________________________ Date __________ |
| This Section For Local 1 Office Use Only | |
| Job Card Card No. | |
| Business Agent | |
| Fringe Benefits Paid Thru Date | |
| Approved By | Date _______________________ |
| Remarks | |
| THE COMPLETED AND SIGNED FORM MUST BE FAXED (OR MAILED) TO LOCAL 1 AT (718) 835-0896 159-29 GEORGE MEANY BOULEVARD • HOWARD BEACH, NEW YORK 11414 • PHONE (718) 738-7500 Job Card Introduction | Table of Contents |