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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
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Forms
Industry Advancement Request Form (Target Money)
Industry Advancement Request Form (Target Money)
Name
This field is for validation purposes and should be left unchanged.
Date
*
Month
Day
Year
Job Number (For Office Use Only)
Contractor Information
Contractor Name
*
Contractor Address
Contact Phone Number
*
Contact Name
*
Email
Project Information
Project Name
*
Project Owner
Project Site Address
Bid Date
*
Bid To:
Bid Time:
*
Total Estimated Hours of Labor
*
Total Estimated Journeyman Hours
*
Total Estimated Job Cost
*
Estimated Start Date
Type of Job:
*
Residential
Commercial
Is this Job Prevailing Wage?
*
Yes
No
General Contractor:
Architect:
Nonunion Competitor(s)
Name(s)
*
Target Request
Dollar Amount Requested:
*
Approval
A copy of your approved/disapproved request will be faxed or emailed to your office/computer.
Approved:
Yes
No
(for office use only)
Approved By:
(for office use only)
Request For Final Payment (Upon Completing the Project)
Upon completion of project, sign and return document via fax, in-person, or email. If you choose to type in your name in the "Contractor Name" box in place of your signature and send via email, you are verifying that all information is correct, accurate and you are the stated person. Any violation or abuse of this process will result in a void agreement.
Contractor Name:
Date
Approved By:
(for office use only)
Approved:
Yes
No
(for office use only)
Date Approved
(for office use only)
Author:
Neil