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Personal Info
JOHN DOE
Job Title:
Foreman
STAC #:
J2B3C26
Company Name:
YOUR Company
Labor Provider Info: (If Applicable):
Emergency Medical Information
Contact Jane @ 555-555-5555
Licenses
Name
Completed
Expiration
Lic. #
Doc
Related
Driver License
1/2/2017
1/2/2021
Safety Program
Name
Completed
Expiration
Lic. #
Doc
Related
ACI Program
3/1/2017
3/1/2018
Company Specific
3/14/2016
Training
Name
Completed
Expiration
Lic. #
Doc
Related
40 Hour HAZWOPER
8/11/2016
1
8 Hour HAZWOPER Refresher
10/2/2017
10/2/2018
First Aid & CPR
2/12/2017
2/12/2019
Industrial Forklift
12/15/2015
12/15/2018
OSHA 30-Hour Construction
2/12/2016
2/12/2020
Steel Erection Training
6/13/2003
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Medical
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Other Information
Howdy - Place whatever you like here :)
Shirt Size: Medium
Sweater Size: Large