Referral List Work Notification

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?
Was this job payroll?: