Supplying qualified & certified workers throughout the U.S.

info@mvlabor.com
Phone: 407-217-5989
Fax: 866-542-4703
7926 Summer Ridge Pl
Orlando, FL 32819-4901

Worker- Registration form

Fill out the form below to add a new worker to the system. Required.Click the Upload Documents tab and upload the documents for this worker.

Personal Information Upload Documents(1-10)Upload Documents(11-18)Upload Documents(19-26)Upload Documents(27-34)

First name:

Last name:

Middle name:

Gender:

Date of Birth:

Resident:

Address 1:

Address 2:

Social security #:

City:

State:

Zip:

Phone 1:

Phone 2:

Phone 3:

Email 1:

Email 2:

Fax 1:

Fax 2:

Notes:

EQUIPMENT LISCENSED:

Back hoe	Crane	Bob Cat	Scisser Lift
Boom	Escavator	Acetylene Torches	Plasma Cutting

Upload Picture:

Upload

1. State Issued ID Card	YesNo
Does Not Expire
Expires on :	(mm/dd/yyyy)
Issuing State :
Upload file:

2. Social Security Card	YesNo
Does Not Expire
Expires on :	(mm/dd/yyyy)
Issuing State :
Upload file:

3. Resident Alien Card	YesNo
Does Not Expire
Expires on :	(mm/dd/yyyy)
Issuing State :
Upload file:

4. Permanent Resident	YesNo
Does Not Expire
Expires on :	(mm/dd/yyyy)
Issuing State :
Upload file:

5 Work Permit	YesNo
Does Not Expire
Expires on :	(mm/dd/yyyy)
Issuing State :
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6. Passport	YesNo
Does Not Expire
Expires on :	(mm/dd/yyyy)
Issuing State :
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7. Physical	YesNo
Does Not Expire
Expires on :	(mm/dd/yyyy)
Issuing State :
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8. Pulmonary Function Test (PFT)	YesNo
Does Not Expire
Expires on :	(mm/dd/yyyy)
Issuing State :
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9. Hazardous Waste (40 Hours)	YesNo
Does Not Expire
Expires on :	(mm/dd/yyyy)
Issuing State :
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10. 2832 Training Certification	YesNo
Does Not Expire
Expires on :	(mm/dd/yyyy)
Issuing State :
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Email: info@mvlabor.com | Phone: 407-217-5989 | Fax: 866-542-4703 | 7926 Summer Ridge Pl | Orlando, FL 32819-4901

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