Your name


Your E-mail address


Your phone number


Assignment you worked


Crew member name (1)


Crew member name (2)


Crew member name (3)


Time ordered


Date ordered for


Were you called spare?
Yes. I was called until cancelled Yes. I was called spare for the day No. I was forced by the Weekly Placement No. I bid the job and am filling in No. I own the job

Was gas mileage paid for the shift?
Yes No

Did you do any HO work? How many times?
No HO work 1 2 3 4 5 More than 5

Were you paid a DH to Spence?
No and I did not claim one I claimed a DH but it was declined I claimed a DH and it was paid The company put in the DH and I was paid

Were you paid a DH from Spence?
No and I did not claim one I claimed a DH but it was declined I claimed a DH and it was paid The company put in the DH and I was paid

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