Prevailing Wage Report Form

Contractor Name*

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Project Name*

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Description Of Work Done*

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Address. This has to be JOB site address, not billing address.*

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City*

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Zip*

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County*

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Est. Project Start*

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Est. Project End*

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Est. Project Value*

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Category*

Building
Highway/Heavy
Residential Invalid Input

Wage Rate*

Inside
Market Recovery
Bemidji
Limited Energy Invalid Input

Employee Names. Journeyman ONLY*

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Contact Email*

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