You must have JavaScript enabled to use this form. Name of Show * Type of production, ex: Commercial, Movie, Episodic, Comedy, Game/Live Performance Show, Pilot Date of first day of employment Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20202021202220232024 Wrap date (approximate) Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20202021202220232024 Lamp Operator/Rigger hourly rate Studio name & stage number(s) * Payroll company name Crew member names and job titles: Crew and Title 1 Crew and Title 2 Crew and Title 3 Crew and Title 4 Crew and Title 5 Crew and Title 6 Crew and Title 7 Crew and Title 8 Crew and Title 9 Crew and Title 10 Crew and Title 11 Crew and Title 12 Crew and Title 13 Crew and Title 14 Crew and Title 15 Other Crew and Titles Leave this field blank
