1. a) the name and location of the day and temporary labor service agency and if applicable, the branch office;
2. b) the name and address of the applicant;
3. c) the date and the time that the applicant sought the work assignment;
4. d) the manner in which the applicant sought the work assignment; and
5. e) the specific work sites or type of jobs sought by the applicant, if applicable. [820 ILCS 175/10]

If an applicant seeks a work assignment as a day or temporary laborer with a day and temporary labor service agency, including in-person, online, or through an app-based system, and is not placed with a third party client or otherwise contracted to work for that day by the day and temporary labor service agency, the day and temporary labor service agency shall provide the applicant with, or, if using a third party to facilitate hiring, ensure that the third party provides the applicant with, a confirmation that the applicant sought work. This confirmation, also known as an application receipt, shall identify the name and title of the authorized agent of the day or temporary labor service agency who processed the application, and shall be manually or electronically signed. The application receipt shall include:

(Source: Added at 50 Ill. Reg. 7177, effective April 28, 2026)