MANPOWER REQUEST FORM Please fill out the form below to request manpower. Contractor Making Request (required) Your Name (required) Your Position (required) Your Email (required) Your Phone (required) Date Request Filed (required) Name of Job/Jobsite (required) Address of Jobsite (required) Report On (required) Report To (required) Job Description/Estimated Duration (required) Work Schedule - 5-8's, 4-10's, etc. (required) QUALIFICATIONS Check as many as apply Building Trades Master PlumberService PlumberJourneyman PlumberApprentice PlumberRes./Lt. Commercial PlumberRestricted ApplianceRestricted SewerPipelayerProduction WorkerWelderOther Shift Work Information 1st Shift2nd Shift3rd ShiftOther Shift Work Times Skill Requirements - Check as many as apply by holding the control key Supervision/ForemanBackflow Prevention CertificationCCCTMed Gas CertificationRefrigeration ServiceTube Bending Other Requirements - Check as many as apply by holding the control key OSHA 10+ CertificationConfined SpaceHigh WorkHeavy RiggingOutside WorkActive Other Information Local 75 fully supports the MCAW/WPTA Drug Testing Program I confirm the information provided is correct.