Dispatch Request

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Dispatch Request

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1 Step 1

Payroll: Please complete for dispatch purpose.

Company Name

Date of Hire

Employee Name

Social Security Number

Address

City/Zip

Telephone

Cell Telephone

Country

Date of Birth

Note: Apprentices need approval by JATC Coordinator and must sign Apprenticeship Agreement prior to dispatching.

Basis Hourly Wage

Termination Date if no longer employed

You can also download this form and send it to:

Underground Utility/Landscape Local 355
13 Tennessee Street, Vallejo, CA 94590
Telephone: 7076440355 Fax: 7076440360

DOWNLOAD FORM

Dispatch Request

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