THE CITY OF NEW YORK * OFFICE OF THE COMPTROLLER * …
THE CITY OF NEW YORK * OFFICE OF THE COMPTROLLER * BUREAU OF LABOR LAW
EMPLOYEES' DAILY SIGN-IN LOG
Prime Contractor: _________________________________ Subcontractor: __________________________________Contract #:_______________
Address:_________________________________________________________________________________
Agency:__________________
Project Name/Location:_____________________________________________________________________
Date:____________________
Employees Name
Classification
Time In
Employees Signature
Time Out
Employees Signature
I HEREBY CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT AND REPRESENTS ALL PERSONS EMPLOYED BY MY FIRM ON THE ABOVE PROJECT ON THIS DATE. NOTE: WORKERS THEMSELVES MUST SIGN IN AT THE TIME THEY ARRIVE AND SIGN OUT WHEN THEY LEAVE AND NOT SIGN IN AND OUT AT THE SAME TIME.
_____________________________ ___________________________________
Signature(Contractors Representative)
Name(Print)
_________________
Title
_________________________
Date
................
................
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