HTML Preview Printable Company Inventory Form page number 1.


City of Tacoma
Community& Economic Development
Office of Small Business Enterprise
747 Market Street, Room 900
Tacoma, WA 98402
253-591-5224 or 253-573-2435
PERSONNEL INVENTORY FORM
This form is to be completed and signed by a responsible official of the company and included in the submittal package .
Specification Number_____________________________ Specification Title ____________________________________________
Company Name ______________________________________________________ Date __________________________________
Street Address/City/State/Zip ___________________________________________________________________________________
Telephone __________________________________ EMail Address ___________________________________________________
Job Categories
(Specify)
Total
Employees
Non
Minority
Total
Minorities
Black
Asian or
Pacific
Islander
American
Indian or
Alaskan Native
Hispanic
M
F
M
F
M
F
M
F
M
F
M
F
M
F
1. Officials & Managers
2.
3.
4.
5.
.6.
7.
8.
9.
10.
TOTALS
Type or Print Name of Responsible Officer / Title Signature of Responsible Officer Date
Comments:
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
SEE INSTRUCTIONS ON REVERSE SIDE
CCD/SBE/FORMS revised June 2013
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