LSJE, LLC 6100 Red Hook Quarters, Suite B-3, St. Thomas, VI 00802-1348 Phone: 340-775-2525 E-mail: [email protected] Subcontractor Employment Form Today's Date: Position/Title: Last Name: Nickname: LGG-GP\ LuchNe'g Social Security Number: Mailing Address: Cell Phone: E-mail: In case of emergency, please contact Contact Lehrisl-ela Vi dor Contact Pho Supervisor Notes: Start Date: 02.1941 Hourly Pay Rate: First Name: Date of Birth: Drivers License Number: hysical Address ■ Phone (other): Marital Status: Relationship: Maryi e CI w Proof of eligibility for employment is required. Please attach a.) a Photocopy of your U.S. Passport or Passport Card OR b.) alphoto ID AND suaport{pg documentationn k Employment Authorization Employee Signature: Supervisor Signature Date: Date: EFTA01223519