MEMBER FORMS

Travelers:

To get on the out-of-work books please fill out forms A, B, C, & D.

Form D you will need to upload current dues receipt, travel letter, photo ID, and your certifications.

Local 234 Members:

To get on the out-of-work books please fill out form B.

Incoming on Portability:

Please fill out forms A, C, & D.

Upload current dues receipt, driver’s license and any certifications.

Book Removal:

Please fill out form E.

It is the responsibility of applicants to remove themselves from the Out-of-Work list when they have taken another job and/or are unable to take a call.

Request A Meeting

Please fill out form F.

Members who want to schedule a meeting with Paul Gutierrez, Jorge Suarez, or Rosie Bowers.

A: Information Card Form

The Information Card Form is general information on the individual in order to create a profile within the IBEW 234 database.

Fill Out Form

B: Sign In Form/Re-sign

The Sign-In Form is what will put the individual onto the out of work books. If you are out of work and need to be added to the books, please fill out this form.

Fill Out Form

C: Dues Authorization Form

The Dues Authorization Form acknowledges that the individual understands working dues will be deducted from their paycheck. Please fill out the form, and if you have questions, reach out to the hall.

Fill Out Form

D: Members Upload Form

For the Member Uploads form, please attach any uploads that you need to include from other forms that are placed on this page.

Fill Out Form

E: Book Removal Form

Applicants shall be responsible for removing themselves from the Out-of-Work List.

Please submit this form to have your name removed.

Fill Out Form

F: Request A Meeting Form

Members who want to schedule a meeting with Paul Gutierrez, Jorge Suarez, or Rosie Bowers.

Please submit this form if you want to schedule a meeting.

Fill Out Form

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