Portability Check-In

Local Union #43 315 422-0435

First Name: *
Last Name: *
SS #: *
Must be 11 characters. Currently Entered: 0 characters.
format: nnn-nn-nnnn
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone * - ### - ### ####
Mbr. Local #: *
IBEW Card #: *
Mandatory Dues Receipt Submission: *

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Classification Level: *
Employer/Foreman: *
Project: *
Job Phone: Job Phone: - ### - ### ####
Start date in Local 43: Start date in Local 43: * / MM / DD YYYY
Anticipated duration of work: *
Type of work:

Type of work: Inside/Construction Tele-data/VDV Nuclear Residential Instrumentation MOV/Limitorque
I understand that the work I will be performing...

within the jurisdiction of Local union 43, is to be worked under the terms and conditions of the appropriate Collective Bargaining Agreement between Local Union 43, and the Finger Lakes, NY Chapter- NECA. I further understand that I am being allowed to work on the above listed project through the “Portability” section of said agreement and that, should said section be violated, I could be denied this right in the future. I further agree to notify Local Union 43 when my job assignment in this jurisdiction is complete.
Signed By: *
Date Signed Date Signed * / MM / DD YYYY
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Portability Check-In

Portability Check-In

I understand that the work I will be performing...