Contract Compliance Form January 1999 printable pdf download

Contract Compliance Form January 1999

*For Office Use Only:

Profile No: __________

CONTRACT COMPLIANCE FORM

REPORTING COMPLIANCE with MAYOR=S ORDER 83-265 AND D.C. LAW 5-93

FIRST SOURCE EMPLOYMENT AGREEMENT

Instructions:

To be completed by the employer and submitted on the 10th of each month until completion of the

project. Forward to:

Department of Employment Services (DOES)

500 C Street, N.W., Room 323

Washington, D.C. 20001

Fax: (202) 724-7827

Telephone: (202) 724-7372

Reporting Period:

Name of Firm:

Address:

Contact Person:

Title:

Telephone Number:

Employer Federal Identification Number:

Contract/Loan Number:

Project

Location:

Project Start Date:

Project End Date:

Contracting/Lending Agency:

Vacancies, Referrals and Hires

Please provide monthly and cumulative statistics for the number of jobs created, referrals made,

and hires.

THIS MONTH

CUMULATIVE

Number of Vacancies Currently Available

Number of Vacancies Listed with DOES

Total Number of Hires

Number of District Residents Hired

Number of DOES Referrals Hired

Contract Compliance Form January 1999