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Submit completed form for each contracted project your company has been awarded.
If you have any questions, please contact IUPAT DC51 @ 301-918-0182
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Email
*
Your email
Name of Signatory Contractor:
*
Your answer
Name of General Contractor:
*
Your answer
Name of Project (or Project Number):
*
Your answer
Address of Project (Street, City, State, Zip):
*
Your answer
Description of Project:
Your answer
Approximate Cost:
*
Your answer
Approximate Start Date:
*
MM
/
DD
/
YYYY
Approximate New Hires Anticipated for Project:
*
Your answer
Project Subject to Any Wage Determination? (Select One):
*
Federal
State
County
No
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