EmailMe Form - HVAC WORK CARD

Apprentice Name: *

First Last

Work Card Month/Year: *

MM / YYYY

Enter the month and year for this work card.

Contractor/Employer: *

If unemployed for this month, please type "OUT OF WORK".

Foreman's name: *

If unemployed for this month, please type "N/A".

Work Photos Upload
Show off your work!

If you would like to show us some photos of your work, please feel free to upload photos here.

First Week - Date From:

MM / DD / YY

First Week - Date To:

MM / DD / YY

Enter number of hours completed for each work process during this week:

Monthly Contract Service
Pipefitting
Troubleshoot - Electric Controls
Troubleshoot - Mechanical Part of System
Air Balancing System
Pipe Welding - Soldering - Brazing
Refrigeration - Commercial
Other

Other/Explain:

Explain work performed under the 'other' category.

Second Week - Date From:

MM / DD / YY

Second Week - Date To:

MM / DD / YY

Enter number of hours completed for each work process during this week:

Monthly Contract Service
Pipefitting
Troubleshoot - Electric Controls
Troubleshoot - Mechanical Part of System
Air Balancing System
Pipe Welding - Soldering - Brazing
Refrigeration - Commercial
Other

Other/Explain:

Explain work performed under the 'other' category.

Third Week - Date From:

MM / DD / YY

Third Week - Date To:

MM / DD / YY

Enter number of hours completed for each work process during this week:

Monthly Contract Service
Pipefitting
Troubleshoot - Electric Controls
Troubleshoot - Mechanical Part of System
Air Balancing System
Pipe Welding - Soldering - Brazing
Refrigeration - Commercial
Other

Other/Explain:

Explain work performed under the 'other' category.

Fourth Week - Date From:

MM / DD / YY

Fourth Week - Date To:

MM / DD / YY

Enter number of hours completed for each work process during this week:

Monthly Contract Service
Pipefitting
Troubleshoot - Electric Controls
Troubleshoot - Mechanical Part of System
Air Balancing System
Pipe Welding - Soldering - Brazing
Refrigeration - Commercial
Other

Other/Explain:

Explain work performed under the 'other' category.

Fifth Week - Date From:

MM / DD / YY

Fifth Week - Date To:

MM / DD / YY

Enter number of hours completed for each work process during this week:

Monthly Contract Service
Pipefitting
Troubleshoot - Electric Controls
Troubleshoot - Mechanical Part of System
Air Balancing System
Pipe Welding - Soldering - Brazing
Refrigeration - Commercial
Other

Other/Explain:

Explain work performed under the 'other' category.

Journeyworker / Foreman Verification

This section MUST BE completed by your journeyworker.

Type of Work *

Construction

Service

TOTAL Journeyworkers *

Please enter the total number of journeyworkers. (Journeyworkers DO NOT need to be physically present, but MUST be reachable by the apprentice.)

TOTAL Apprentices *

Please enter the total number of apprentices on the jobsite.

Journeyworker Signature *

Clear

Please have your journeyworker sign for verification.

Printed Name of Journeyworker *