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Fill in the following form to request labor for your company

All it takes to request Labor Force ® to fulfill your immediate staffing needs is to fill out the below form. We request that you give at least 24 hours of notice. If your needs are more demanding please feel free to give your local office a call to see if we can fill your staffing needs.

Request Type: Request Quote Place Order
Contact Information

Company Name


Phone Number


Billing Address


Department


Start Date 2006

Contact Person


Fax Number


Job Location Address


Report To


End Date 2006
Scheduled hours? From: To:

Will lifting be required? Yes No
    - If yes, will there be assistance or equipment available to help? Yes No

Please check any equipment required to complete job
Safety Glasses Steel-Toed Boots Gloves
Other (please specify):

Please check any special requirements for labor
Education Personality Physical Clothing
Other (please specify):

Job Description
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