Labor Compliance Program Manual - San Francisco Public Schools
Labor Compliance Program Manual - San Francisco Public Schools
Labor Compliance Program Manual - San Francisco Public Schools
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Awarding Body LCP State of California Requirements as of January 21, 2009<br />
Procedures <strong>Manual</strong><br />
_________________________________________________________________________________________________<br />
SFUSD For office use only: case #:_______<br />
PUBLIC WORKS COMPLAINT FORM<br />
(Page 1 of 2)<br />
Name:____________________________________________________________ ☐ Male ☐ Female<br />
First Middle Last<br />
Check the race/ethnic category which best describes your background:<br />
_______________________<br />
Social Security Number<br />
☐ Black ☐ Hispanic ☐ Asian ☐ Pacific Islander ☐ Filipino ☐ American Indian<br />
☐ White ☐ Other___________________<br />
Address:___________________________________________________________________________<br />
Street City State Zip<br />
Home telephone___________________ Work telephone___________________<br />
Work classification___________________________________________________________________<br />
Name of school______________________________________________________________________<br />
Project location:_____________________________________________________________________<br />
Street City State Zip<br />
Prime contractor's name_______________________________________________________________<br />
Address:___________________________________________________________________________<br />
Street City State Zip<br />
Subcontractor's name_________________________________________________________________<br />
Address:___________________________________________________________________________<br />
Street City State Zip<br />
Supervisor's name____________________________________________________________________<br />
Return form to: <strong>Labor</strong> <strong>Compliance</strong> <strong>Program</strong>, SFUSD, 135 Van Ness Avenue, <strong>San</strong> <strong>Francisco</strong>, CA 94102<br />
______________________________________________________________________________________________<br />
SFUSD - 71 - Appendix D
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