CC-257 Monthly Employment Utilization Report

1. MONTHLY
EMPLOYMENT
UTILIZATION REPORT
(FORM chro cc–257)

Commission on Human Rights and Opportunities
Contract Compliance Unit
21 Grand Street
Hartford, CT 06106

PROJECT AREA (MSA):

3. PROJECT AAP GOALS
MINORITY: ___________

____________________________
2. EMPLOYER=S FEIN NO.

FROM:_______________
FEMALE:_____________
TO:__________________

NAME AND LOCATION OF CONTRACTOR (submitting report):

PROJECT NAME:
CONTRACT NUMBER:
5.

STATE AWARDING AGENCY:

6. WORK HOURS OF TRADE WORKERS EMPLOYED ON PROJECT
CONSTRUCTION
TRADE

6a.
CLASSIFICATION

(please identify)

6b.

TOTAL
HOURS
BY TRADE
M

F

4. REPORTING PERIOD

BLACK
(Not of
Hispanic
Origin)
M
F

6c.
HISPANIC

M

F

6d.
ASIAN OR
PACIFIC
ISLANDERS
M

F

9.
6e.
AMERICAN
INDIAN OR
ALASKAN
NATIVE
M
F

7.

8.
MINORITY
PERCENT

FEMALE
PERCENT

10.

TOTAL
NUMBER OF
EMPLOYEES

TOTAL
NUMBER OF
MINORITY
EMPLOYEES

M

M

F

F

Journey Worker
Apprentice
Trainee
SUB-TOTAL
Journey Worker
Apprentice
Trainee
SUB-TOTAL
Journey Worker
Apprentice
Trainee
SUB-TOTAL
Journey Worker
Apprentice
Trainee
SUB-TOTAL
Journey Worker
Apprentice
Trainee
SUB-TOTAL
TOTAL JOURNEY WORKERS
TOTAL APPRENTICES
TOTAL TRAINEES
GRAND TOTAL

11. COMPANY OFFICIAL=S SIGNATURE AND TITLE

12. TELEPHONE NUMBER (Including area code)

13. DATE SIGNED

PAGE
________OF________

Addenda # A

Form CHRO cc-257

1. MONTHLY
EMPLOYMENT
UTILIZATION REPORT
(FORM chro cc–257A)

Commission on Human Rights and Opportunities
Contract Compliance Unit
21 Grand Street
Hartford, CT 06106

PROJECT AREA (MSA):

3. PROJECT AAP GOALS
MINORITY: ___________

____________________________
2. EMPLOYER S FEIN NO.

FROM:_______________
FEMALE:_____________
TO:__________________

PROJECT NAME:
CONTRACT NUMBER:

NAME AND LOCATION OF CONTRACTOR (submitting report):

5.

STATE AWARDING AGENCY:

6. WORK HOURS OF WORKERS (OTHER THAN TRADE WORKERS) EMPLOYED ON PROJECT

ON SITE
PERSONNEL
(OTHER THAN
TRADE WORKERS)
(please identify
specific job title)

6b.

6a.
TOTAL
HOURS
BY TRADE
M

F

4. REPORTING PERIOD

BLACK
(Not of
Hispanic
Origin)
M
F

6c.
HISPANIC

M

F

6d.
ASIAN OR
PACIFIC
ISLANDERS
M

F

6e.
AMERICAN
INDIAN OR
ALASKAN
NATIVE
M
F

9.
8.

7.
MINORITY
PERCENT

FEMALE
PERCENT

10.

TOTAL
NUMBER OF
EMPLOYEES

TOTAL
NUMBER OF
MINORITY
EMPLOYEES

M

M

F

F

GRAND TOTAL WORKERS

11. COMPANY OFFICIAL S SIGNATURE AND TITLE

12. TELEPHONE NUMBER (Including area code)

13. DATE SIGNED

PAGE
________OF________