This form will be destroyed every two weeks. You Must call the
employment Counselor. If you return to work call 314.457.8300 and leave a message @ ext. 5606 (St. Louis), or 618.277.2051 ext. 5097 (IL). Be sure to state your name and new employer (Contractor).
Counselor must be able to leave a Phone Message!
(Make sure it is a number(s) where you can be reached!)
Native American (Cherokee, etc.)
African American (Black)
Pacific Islander (Chinese, etc.)
Check all that apply - Check Residential (Res:), Commercial (Com:)
or both depending on experience
Metal Stud Framing:
Previous Contractors that you have Worked for:
Form Out Completely!