Order Information

Name of Company:

Start Date (worker start date):

Type of Worker (carp, lab, painter, etc.):

Scope of Work (Com/Res/Ind/TI, etc.):

Level of Experience & Any Necessary Certifications (JM/AP/Mid-lvl, etc.):

How many Workers (# needed):

Jobsite Address:

Project Name/P.O. if applicable:

Where should worker meet 1st day:

Start Time:

Length of Project (# days needed):

Job Duties (what will he be doing):

Who should the worker placement be confirmed with:

Who will the worker be reporting to(onsite Lead) and their contact information:

Power Tools Required:

Special Requirements (Colored Vests, your company logo shirts, etc.):

Fall Protection needed (Training):

Special Instructions (difficult parking, etc.):

Timecard
 Workweek Runs Monday-Sunday Standard California Overtime Rates Apply
 Timecard must be filled out completely with date(s) and time(s) worked
 Supervisor Signature is Required for Worker Payment
 Workers are provided with blank Timecards and need a different Timecard for
each jobsite address