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How to use or fill out Fillable Concrete Safety Manager Experience Verification Form - Rev. 3/14
- Click ‘Get Form’ to open it in the editor.
- Begin by entering the Applicant Name and Business where the applicant was employed in the designated fields. Ensure that this information is printed clearly.
- Instruct the employer representative to complete their section, including their name, job title, and contact information. This section must be filled out by an authorized individual, not an HR employee.
- Fill in the employment details for the applicant, including dates of employment and whether they worked full-time or part-time. Specify the applicant's position/title(s) during their employment.
- Answer questions regarding the applicant's experience in concrete operations. Indicate 'Yes' or 'No' as applicable and provide a description of their duties.
- Complete the table detailing each job site where the applicant worked, including volume of concrete placed and job site address.
- Add any additional comments about the applicant’s experience and moral character as required before signing and notarizing the form.
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