HTML Preview Construction Employee Sign In Sheet page number 1.

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

ADDRESS _____________________________________________

_____________________________________________

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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