EmailMe Form - PIPEFITTING/WELDING 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".

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:

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:

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:

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:

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:

Other/Explain:

Explain work performed under the 'other' category.