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Signature of Interviewer 15c. Date of interview Payroll Examination 17a. Signature of Payroll Examiner Previous editions are obsolete 4/16/2012 Form HUD-11 08/2004 Version 3. 2 INSTRUCTIONS FOR THE RECORD OF EMPLOYEE INTERVIEW This form is to be used by HUD and local agency staff for recording information gathered during on-site interviews with laborers and mechanics employed on projects subject to Federal prevailing wage requirements. Informatio.

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