Lost Work Form

Midwest Region NECA – Lost Work Report
To be completed for projects lost to non-union bids, bid against non-union competition, or jobsites with non-union electrical contractors performing electrical work.

Project Information
Date*
MM slash DD slash YYYY
Project/Job & Address*
Bid Date*
MM slash DD slash YYYY
Project Start Date*
MM slash DD slash YYYY
Value of Electrical Work*
Square Footage*
Owner/Customer*
Gen Contr./Developer*
Job Site Local Union*
Job Site NECA Chapter*
Select Job Type (check all that apply)
- Commercial/Industrial
- Residential
- VDV
- Mkt Recovery/Small Works
- Prevailing Wage
- Federal Davis Bacon
Additional Information
Open Shop/Non-Union Bidding
Is your company submitting a bid?
- Yes
- No
Were you prohibited from submitting a bid*
If not bidding, state reason why*
Did you request amended conditions*
Successful Electrical Contractor*
Successful Electrical Bid Amount ($)*
General Contractor*
Comments
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Project Information

Select Job Type (check all that apply)

Additional Information