Register Out of Work, or Back to Work List.
Member's Name:
Social Security #:
Union Registration #:
Todays Date:
Employer:
Last Date of Work:
(lay off date)
First Date of Work:
(employment date)
Out of Work Lists:
(
Select the requested District)
Select District
District 1
District 2
District 3
District 1&2
District 1&3
District 2&3
All Districts
Work in other IUOE Jurisdiction:
No
Yes
Comments or note to Business Representative:
Please submit
Heavy Equipment Operator Skill List
,
to update your experience record.
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IUOE Local 545 * 127 East Glen Ave. * Syracuse, NY 13205 * 315.492.1752