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  • Sign-In Form

    IMPORTANT DISPATCH INFO -
    PLEASE READ!
    Remote Dispatch Instructions-
    Signing the Out-of-Work List
    To Sign-in on the Out-of-Work List,
    please fill out the Sign-in form.
    Once Sign-in form is complete,
     please submit form
    or e-mail the form directly to: 
    IMPORANT, You MUST include your
    e-mail address when filling out the Form.
    If you have signed the Out-of-Work List
    previously, you only need to include your
    Name, the last 4 of your Social Security,
    Home Local, State Cert information,
    Classification & IBEW Card number. 
    Your Last Employer & Term Date should
    be included, if possible.  You do not need to
    include your full SSN.  The Dispatcher
    will let you know if additional
    information is required. 
    Please note:  use the Online Re-sign Form
    when on the Out-of-Work List,
    from the 10th - 16th, monthly.
    To Request a Vacation Form,
     please contact the Union Hall
     at (650) 574-4239.

    First Name:
    Middle Initial:
     
    Last Name:
    SSN:
    Home Local:
    CA State Cert?:
    (leave blank if no State Cert)
    Classification:
    Trainee Card?: 
    (leave blank if no Trainee Card)
    IBEW Card Number:
    Last Employer:
    Termination Date:
    Mailing Address:
    City:
    County:
    State:
    Zip Code:
    Ethnicity:
    Home Phone:
    Cell Phone:
    E-Mail Address:
    Date of Birth: (MM/DD/YYYY)


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