IBEW 131 Workforce Request Form

Workforce Request Form
This form should be used for the request of referrals from IBEW L.U. 131. Request for referrals MUST be submitted by 2:00 p.m. on the Date of Call. In emergency situations past 2:01 p.m. on the date of call, please call our office.
(269) 382-1762
Contractor
Contact Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Please upload any company specific request forms, if applicable

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Job Site Description, Work to be Performed
Job Site Shifts/Hours - LIST FULL HOURS & IF ANY OT
Will this job provide sick time accrual in accordance with Michigan's Earned Sick Time Act?
Does this job include Incentive Pay?
Incentive Pay
Job site Address: EXACT ADDRESS SO WE CAN INFORM ALL TRAVELING MANPOWER

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Report-to Location Address (if different from Jobsite). We will not post jobs without this information.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Call Request

MonthDayYear
Date
Report Date and Time

MonthDayYear
Date
Hour MinutesAM/PM Option
Duration
Site Conditions (Select all that apply)
Employee Recall - Upload Most Recent UIA claim documentation, if outside the 60 day recall window.

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Number of Journeyman Wireman for Call
Site Forman Name

First NameLast Name
Apprentice - Check Other to Inform to us of the Number Requested for Each Classification

Other
Other Classifications - Select desired CE Electrician Classification check other and place the desired amount of each classification in description

Other
Requirements for Call - Please check all requirements for job call, for those not listed use the other check box and be as specific as possible.

Other
Please list any needed documents for employment, such as SS card or Identification.
Other - Please add any details you would want new employees or Local 131/KJATC to know for this workforce request.
Should be Empty: