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. YOU MUST PROVIDE A TERMINATION SLIP OR LETTER OF INTRODUCTION TO SIGN THE BOOKS IF YOU ARE A BOOK 1 OR 2. PLEASE EMAIL THEM TO DISPATCH@IBEW483.ORG. IF YOU HAVE ANY QUESTIONS OR ARE UNSURE WHAT YOUR CLASSIFICATION OR BOOK NUMBER MAY BE, PLEASE EMAIL DISPATCH@IBEW483.ORG. 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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