Teamsters Local 1149
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    Updated: Sep. 20 (00:44)
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  • Withdrawal Card Request Form

    If you become unemployed you may request a withdrawal card.  A withdrawal card alleviates you from your monthly dues obligation.  To be eligible for a withdrawal card a member must have paid to the Union all dues and other financial obligations as a member, including dues for the month in which the withdrawal card is effective.  There may be a maximum charge of fifty cents (50¢) to any member issued a withdrawal card.

    First Name:
    Last Name:
    Address:
    City, State, Zip:
    Phone (+ Area Code):
    Email Address:
    Last Day Of Work:
    Employer:
    Last 4 Digits Of SSN:
       
      Termination/Resignation 
    Reason For Withdrawal Retirement          Layoff
      Comp/Disability   Leave of Absence
     

     


  • Teamsters Local 1149

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