IBEW Local 584
Portability Check-In Form

Local Union #584, IBEW


First Name *
Last Name *
SSN  *

Phone  *
Email Address *
Member Local #

 *

IBEW Card #

 *


Mandatory Dues Receipt Submission

Send via Email - dispatch@ibew584.com
Send via Fax - 918-599-0584
Send via US Mail - 584 S Lewis Tulsa, OK 74104
Hand Deliver to Referral Office - 584 S Lewis Tulsa, OK 74104


Classification/Level

 *

Employer

 *

Project  *
Project Location  *
Client  *
Scope of Work  *
Start Date in Local 584  *
Anticipated Duration of Work  *
Type of Work Inside Construction
Tele-data/VDV
Residential
Instrumentation

I understand that the work I will be performing...
within the jurisdiction of Local 584, IBEW is to be worked under the terms and conditions of the appropriate Collective Bargaining Agreement between Local 584, IBEW and the Eastern OK Chapter - NECA. I further understand that I am being allowed to work on the above listed project through the "Portability" section of said agreement and that, should said section be violated, I could be denied this right in the future. I further agree to notify Local 584 when my job assignment in this jurisdiction is complete. (The "Assignment Completion Form" is also available on this website.)

Signature  *
Date Signed  *

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