Date*
MM
DD
YYYY
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)
Name
This field is for validation purposes and should be left unchanged.

Industry Advancement Request Form (Target Money)

Contractor Information