Local 385 Web Site - Withdrawal Card Request

NOTE: Only use a withdrawal card request for: loss of job, workers compensation, disability, leave of absence or if you will NOT be working for one month or more. Upon taking this Withdrawal Card, I do hereby certify under penalty of perjury that I have no pending claims under the Grievance Procedure of my Collective Bargaining Agreement and that I further have no claims to be asserted under the Grievance Procedure of my Collective Bargaining Agreement.
*First Name:
*Last Name:
Email Address:
*Social Security # :
*Job Classification:
*Street Address:
*City:
*State:
*ZIP:
*Daytime Telephone # :
*Night Telephone # :
*Day you last worked:
*Reason:
	*=Required fields
Comments:

To be eligible for a withdrawal card, your initiation fees must be paid and your monthly dues must be current. Are your dues current and initiation/transfer fees paid?
It is your responsibility to notify the Union PRIOR to your return to a Teamster capacity. Please acknowledge this request:
*Excerpt from the International Brotherhood of Teamsters Constitution, Article XVIII


Please note: Upon receiving your request, a withdrawal card will be sent to the address you provided. Please return the withdrawal card along with a $.50 processing fee.