Steven Bellone Frank Nardelli
Suffolk County Executive Commissioner
SUFFOLK COUNTY DEPARTMENT OF LABOR, LICENSING, & CONSUMER AFFAIRS
DOL: LHE-7 (revised 1/15)
NOTICE OF APPLICATION TO CERTIFY COMPLIANCE WITH FEDERAL LAW
(8 U.S.C. SECTION 1324A)
WITH RESPECT TO LAWFUL HIRING OF EMPLOYEES
Suffolk County Code, Chapter 353 (2006)
CONSTRUCTION SITE SIGN-IN SHEET
TODAY’S DATE: ________________
EMPLOYER/CORP./BUSINESS/COMPANY NAME ___________________________________________________
ADDRESS _____________________________________________
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PROJECT NAME _______________________________________ LOCATION ______________________________
All covered employees shall be required to sign this log to indicate their presence on this construction site on the date shown above.
(PLEASE PRINT NAME) (SIGNATURE) (DATE) (COMPANY / CONTRACTOR)
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