Florida Wages And Payrolls Forms & Documents Page 2
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13STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
700-010-07
ADDITIONAL CLASSIFICATION - REQUEST FORM
CONSTRUCTION
08/04
Page 1 of 2
Prime Contractor Name:
Address:
E-mail Address:
Phone Number:
Date:
Florida Department of Transportation
Office of Construction - M.S. 31
605 Suwannee Street
Tallahassee, Florida 32399-0450
Attention: Prevailing Wage Rate Survey Coordinator
Financial Project Number:
Federal Aid Project Number:
Project's Resident Office Telephone No.
County(ies):
Contract Number:
Letting Date:
Award Date:
I request the following classification(s) be added to the General Decision No. FL
Publication Date:
Classification Title:
Classification Description (actual job duties):
Suggested hourly rate of pay: $
Classification Title:
Classification Description (actual job duties):
Suggested hourly rate of pay: $
Classification Title:
Classification Description (actual job duties):
Suggested hourly rate of pay: $
Sincerely,
(Contractor's Representative Signature)
(Please Print)
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