Teamsters Local 1149
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  • Withdrawal Card Request Form

    Please be advised that if you do not work a full calendar month, you will automatically be placed on withdrawal card status. While a withdrawal card exempts you from paying dues during your period of unemployment, it also limits certain rights and privileges. However, an honorable withdrawal card under the terms of the International Constitution and its Bylaws may provide for the continuance of Local Union benefits to such inactive member under conditions which it may set forth, but such inactive member shall not be permitted to hold office or vote, and shall have only such right to participate in the meetings and the affairs of the Local Union as shall be uniformly permitted by the Local Union Executive Board.  If you are currently out of work but would like to continue paying your union dues directly to Local 1149, please contact us immediately. This will help ensure that you are not automatically placed on withdrawal status.

    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


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