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275 021 08 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering your name and Florida home office address in the designated fields at the top of the form.
- Input your FEID number or FDOT vendor number, followed by the financial project number.
- Select whether you are a prime contractor or subcontractor by checking the appropriate box.
- Indicate the year for which you are reporting and confirm if you had employees on this project during July by checking 'Yes' or 'No'.
- Complete Table A by filling in employment data for each job category, including total employees and minority breakdowns.
- If applicable, provide details about any apprentices in Table A, including program name, job category, count, race, and sex.
- Finally, ensure to fill out the preparer and reviewer sections with names, email addresses, phone numbers, signatures, and dates.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2011 | 4.8 Satisfied (81 Votes) |
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