Laborers Local 60
Benefit Funds

140 BROADWAY, HAWTHORNE, NY 10532

Work Card

*First Name:
*Last Name:
*Email:
*Phone:
*Book Number:
 
Indicate if you worked under the jurisdiction of another local:
Company Name:
Month:
Year
Pay week date
of period ending
Job Location
Hours worked
ST
OT
DT
DT&1/2
*1.
2.
3.
4.
5.
           
 
Human Code:
 
Enter Code
 

Laborers Local 60
Benefit Funds

140 Broadway
Hawthorne, NY 10532

P: 914-769-2440
F: 914-769-4023

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