IBEW Local 483

IBEW Local 483 Re-sign Form

Please note: You must initially register in person to be placed on the "Out-of-Work" Books. To complete and submit this form you must currently be on the books at IBEW Local 483. Re-sign Form must be received between the 10th and the 16th of each month or you will be removed from the books. Once removed you will have to register in person and be placed at the bottom of the list.

*Name:
*Address:
*City:
*State:
*Zip:
Last Four Digits of S.S. #
Are you an IBEW Member:
Local Union #:	Card #: Paid Thru (mm/dd/year):
*Classification:	Book #: Orig. Sign Date (mm/dd/year):
*Phone #1:	Phone #2:
*E-mail:
*Drivers License:	State:
*CDL/Class:
Endorsements:	Tanker Doubles Triples Hazmat Airbrakes
*1st Aid/CPR:
*Flagger:
Crane Certification:	NCCO CIC Ton: Other:
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)?
	*Required Fields

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