Referral Call Sheet Submit to the hall before 3:00 p.m. to go on the recorder the same day. Thank you. Contractor*Person Requesting this Job*Phone Number of Requester*Fax NumberJob 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 formJob InformationDescription of work to be done (BE SPECIFIC) - the more information we have, the better!Pre-Hire Drug Testing Required* YES NO You must select oneJob InformationDescription of work to be done (BE SPECIFIC) - the more information we have, the better!Number of JW*Long/Short Call*Long CallShort CallRate*InsideWesternResidentialMinnesota Electrical License Required* Yes No Job Conditions* Indoor Outdoor Industrial Commercial Residential Service Work This field is hidden when viewing the formOther Job Information or ConditionsBe SpecificOther Job Information or ConditionsBe SpecificWhere is JIW to Report to*JobShopLocation (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*YesNoWhere 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?*FaxEmailIf 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.* NameThis field is for validation purposes and should be left unchanged.
