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Get Worker Role Interview Form Pdf

T Name: Contract Number: Project Number: Prime Contractor Name: Subcontractor Name: 1. Name of Employee: 2. Home Address & Zip Code: 3. Area Code/Phone Number: Social Security Number (Optional): 4. Last date and number of hours you worked on this project before today? SU M T W TH F SA Last Wk This Wk 5. Your Hourly Pay Rate: $ 7. What are your duties most of the time? Other duties? 8. Tools or Equipment Used? Employee Initial (Optional): Date of Pay (Circle One): SU M T W 6. Your Job C.

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