Caribbean and Mexican Seasonal Agricultural Workers Program: Ministry of Health Letter
Adobe Acrobat PDF format print version (size: 11 kb)
HRSD LETTERHEAD / (SCC ADDRESS)
DATE: ___________________
(NAME AND ADDRESS OF COUNTY HEALTH UNIT)
WE REQUEST SEASONAL HOUSING INSPECTION FOR THE FOLLOWING EMPLOYER PRIOR TO THE ARRIVAL OF THE WORKERS:
NAME:_______________________________________________
ADDRESS:____________________________________________
LOT: CONCESSION: _______________
PHONE: _________________________
TYPE OF INSPECTION: OFFSHORE WORKERS
APPROXIMATE DATE WORKERS TO ARRIVE: ______________________________________________
NUMBER OF WORKERS REQUESTED: ______________________________________________
PLEASE ADVISE THE APPROPRIATE LIAISON OFFICER AND THIS OFFICE OF THE RESULTS OF YOUR INSPECTION.
THANK YOU
SCC MANAGER
