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Planning
Retirement
Health Care
Employee Assistance Program
Dues
Pay Dues Online
Tax Information
Forms
Change of Address/Phone Form
401K Salary Deferral Election forms
Re-sign
Signing Book 1 & 2
Contact Us
Local 343 Staff
Office Staff
Officers
Committees
About
History
343 Jurisdictional Map
Job Openings
Current Jobs
Referral procedure
Member Information and Book Position
Signing Book 1 & 2
Upcoming Work
JW Education
JW Classes
How to Join
Electrical Apprentices
Licensed Electrician
Limited Energy Apprentice
Limited Energy
Contractors
T.E.A.M Wellness
Contractors
Contractors in 343
Forms
Calendar
Links
Menu
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Forms
Referral Call Sheet
Referral Call Sheet
Submit to the hall before 3:00 p.m. to go on the recorder the same day. Thank you.
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Contractor
*
Person Requesting this Job
*
Phone Number of Requester
*
Fax Number
Job Name
*
Place where the majority of the work will be at. (i.e. "Shop" or "Red Hotel on Broadway")
Job Address
*
Street Address
City
ZIP Code
This field is hidden when viewing the form
Job Information
Description of work to be done (BE SPECIFIC) - the more information we have, the better!
Pre-Hire Drug Testing Required
*
YES
NO
You must select one
Testing for THC?
*
YES
NO
You must select one
Job Information
Description of work to be done (BE SPECIFIC) - the more information we have, the better!
Number of JW
*
Long/Short Call
*
Long Call
Short Call
Rate
*
Inside
Western
Residential
Minnesota Electrical License Required
*
Yes
No
Job Conditions
*
Indoor
Outdoor
Industrial
Commercial
Residential
Service Work
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Other Job Information or Conditions
Be Specific
Other Job Information or Conditions
Be Specific
Where is JIW to Report to
*
Job
Shop
Location (address of where they are to report to)
*
Street Address
City
ZIP Code
Contact Person for JIW to Report to
*
Start Date
*
Month
Day
Year
Start Time
*
:
Hours
Minutes
AM
PM
AM/PM
Phone Number of Contact Person
*
Please use a phone number for someone that will be on the job site the day they start. Thank you.
Job Hours
*
(example 7 a.m. - 3:30)
Do you need separation notices
*
Yes
No
Where would you like separation notices mailed?
We require OUR layoff (separation) slips to be emailed to us AS SOON as the job is complete!! This ensures that our workers get back on the out-of-work list IMMEDIATELY.
How do you want to receive the referrals?
*
Fax
Email
If you want referrals emailed we send through a secure email, so you will have to create a password to open the email.
Fax number to fax referrals.
*
E-Mail address to send referrals.
*
Email address of person requesting manpower.
*
Author:
Neil
