IBEW Local 483 Online Submission Form

IBEW Local 483 Out of Work Books Form

Please note: YOU DO NOT NEED TO HAVE A LOGIN TO REGISTER OR RESIGN.  YOU MUST RESIGN MONTHLY FROM THE 10TH-16TH TO KEEP YOUR NAME CURRENT ON THE BOOKS, IF YOU DO NOT RESIGN YOU WILL BE TAKEN OFF OF THE BOOKS. IF YOU HAVE ANY QUESTIONS OR ARE UNSURE WHAT YOUR CLASSIFICATION OR BOOK NUMBER MAY BE, PLEASE CALL THE HALL AT (253) 565-3232. THANK YOU!

*Name:
*Address:
*City:
*State:
*Zip:
*Last Four Digits of S.S. #
Are you an IBEW Member:
Home Local Union #:      Card #:   Paid Thru (mm/dd/year):
*Classification:   Book #:   Orig. Sign Date (mm/dd/year):
*Phone #1:      Phone #2:
E-mail (Optional):
*Drivers License:    State:   
*Clean Driving Record:
*CDL/Class:   
Endorsements: Tanker   Doubles   Triples   Hazmat   Airbrakes 
*1st Aid/CPR:   
Osha Training Course:   Card #: 
*Flagger Card:   
Crane Certification:    NCCO   CIC Ton:   Other:
*Graduated Line School:
Other Certifications:
Forklift   Confined Space 
Groundman Only:

*Are you interested in Tree Calls?

*Are you interested in Underground Tech Calls?

Last Employer:      Last Day Worked (mm/dd/year):
*Short Calls: Will you accept Short Calls (40 hours or less)?
*Acknowledgement: I acknowledge that I have read the IBEW Local 483's Dispatch Policy. 
Re-sign Time: I am aware that I must re-sign once each month from the 10th-16th. 
*Signature:
Signature:

Use your mouse, finger, or touch device to write your signature.

*Required Fields

 


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  • IBEW Local 483

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