Referral List Only Work Report

Please fill out the form below with all of the information you know. We appreciate your help in tracking the work in our jurisdiction!
 

First name:
Last Name:
Email Address:
Job Name:
Which state was the job in?
Production Company:
Producer/Production Manager Name:
Producer Email:
Producer Phone Number:
Start Date:
End Date:
Is this job Union or non-union?
Was this job payroll?: