Form AA-201 "Initial Project Workforce Report - Construction" - New Jersey

What Is Form AA-201?

This is a legal form that was released by the New Jersey Department of Labor & Workforce Development - a government authority operating within New Jersey. Check the official instructions before completing and submitting the form.

Form Details:

  • Released on November 1, 2011;
  • The latest edition provided by the New Jersey Department of Labor & Workforce Development;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form AA-201 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Labor & Workforce Development.

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Download Form AA-201 "Initial Project Workforce Report - Construction" - New Jersey

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Official Use Only
STATE OF NEW JERSEY
Assignment
DEPARTMENT OF LABOR & WORKFORCE DEVELOPMENT
CONSTRUCTION EEO COMPLIANCE MONITORING PROGRAM
Code
FORM AA-201
INITIAL PROJECT WORKFORCE REPORT CONSTRUCTION
Revised 11/11
For instructions on completing the form, go to:
http://www.state.nj.us/treasury/contract_compliance/pdf/aa201ins.pdf
1. FID NUMBER
2. CONTRACTOR ID NUMBER
5. NAME AND ADDRESS OF PUBLIC AGENCY AWARDING CONTRACT
Name:
Address:
3. NAME AND ADDRESS OF PRIME CONTRACTO R
(Name)
CONTRACT NUMBER
DATE OF AWARD
DOLLAR AMOUNT OF AWARD
(Street Address)
7. PROJECT NUMBER
6. NAME AND ADDRESS OF PROJECT
Name:
Address:
(City)
(State)
(Zip Code)
8. IS THIS PROJECT COVERED BY A PROJEC
LABOR AGREEMENT (PLA)? YES
N O
4. IS THIS COMPANY MINORITY OWNED [ ] OR WOMAN OWNED [ ]
COUNTY
TRADE OR CRAFT
9.
PROJECTED TOTAL EMPLOYEES
PROJECTED MINORITY EMPLOYEES
PROJECTED
PROJECTED
MALE
FEMALE
MALE
FEMALE
PHASE - IN
COMPLETION
DATE
DATE
J
AP
J
AP
J
AP
J
AP
1. ASBESTOS WORKER
2. BRICKLAYER OR MASON
3. CARPENTER
4. ELECTRICIAN
5. GLAZIER
6. HVAC MECHANIC
7. IRONWORKER
8. OPERATING ENGINEER
9. PAINTER
10. PLUMBER
11. ROOFER
12. SHEET METAL WORKER
13. SPRINKLER FITTER
14. STEAMFITTER
15. SURVEYOR
16. TILER
17. TRUCK DRIVER
18. LABORER
19. OTHER
20. OTHER
I hereby certify that the foregoing statements made by me are true. I am aware that if any of the foregoing statements are
willfully
false, I am subject to punishment.
(Signature)
10.
(Please Print Your Name)
(Title)
(Area Code)
(Telephone Number)
(Ext.)
(Date)
Official Use Only
STATE OF NEW JERSEY
Assignment
DEPARTMENT OF LABOR & WORKFORCE DEVELOPMENT
CONSTRUCTION EEO COMPLIANCE MONITORING PROGRAM
Code
FORM AA-201
INITIAL PROJECT WORKFORCE REPORT CONSTRUCTION
Revised 11/11
For instructions on completing the form, go to:
http://www.state.nj.us/treasury/contract_compliance/pdf/aa201ins.pdf
1. FID NUMBER
2. CONTRACTOR ID NUMBER
5. NAME AND ADDRESS OF PUBLIC AGENCY AWARDING CONTRACT
Name:
Address:
3. NAME AND ADDRESS OF PRIME CONTRACTO R
(Name)
CONTRACT NUMBER
DATE OF AWARD
DOLLAR AMOUNT OF AWARD
(Street Address)
7. PROJECT NUMBER
6. NAME AND ADDRESS OF PROJECT
Name:
Address:
(City)
(State)
(Zip Code)
8. IS THIS PROJECT COVERED BY A PROJEC
LABOR AGREEMENT (PLA)? YES
N O
4. IS THIS COMPANY MINORITY OWNED [ ] OR WOMAN OWNED [ ]
COUNTY
TRADE OR CRAFT
9.
PROJECTED TOTAL EMPLOYEES
PROJECTED MINORITY EMPLOYEES
PROJECTED
PROJECTED
MALE
FEMALE
MALE
FEMALE
PHASE - IN
COMPLETION
DATE
DATE
J
AP
J
AP
J
AP
J
AP
1. ASBESTOS WORKER
2. BRICKLAYER OR MASON
3. CARPENTER
4. ELECTRICIAN
5. GLAZIER
6. HVAC MECHANIC
7. IRONWORKER
8. OPERATING ENGINEER
9. PAINTER
10. PLUMBER
11. ROOFER
12. SHEET METAL WORKER
13. SPRINKLER FITTER
14. STEAMFITTER
15. SURVEYOR
16. TILER
17. TRUCK DRIVER
18. LABORER
19. OTHER
20. OTHER
I hereby certify that the foregoing statements made by me are true. I am aware that if any of the foregoing statements are
willfully
false, I am subject to punishment.
(Signature)
10.
(Please Print Your Name)
(Title)
(Area Code)
(Telephone Number)
(Ext.)
(Date)