Application For Withdrawal 2016-12-05T15:48:48+00:00

Application for Withdrawal Card must be filed with the Union Office WITHIN TEN (10) DAYS by a member who has been laid-off, terminates or is discharged from the Company, including sickness, accident or a leave-of-absence.

THIS IS THE SOLE RESPONSIBILITY OF THE MEMBER

If a member fails to file an Application for Withdrawal with the Union Office within the required ten (10) day interval, the member will immediately fall into arrears of the Union dues. If a member is already on Withdrawal and is called back to work for a day or more and is again laid-off, the member is required to re-apply for another Withdrawal Card. In other words, if a member is called back to work for any length of time, the Withdrawal Card already on file becomes null and void.

IMPORTANT – Upon returning to work, please contact Local 879 to inform us on your return to work status.

notice-of-withdrawal

Thank You

Your Full Name

Home Address

City

Postal Code

Home Phone # (incl. Area Code)

Social Insurance Number (last 4 digits only)

Name of Last Employer

Reason for requesting Withdrawal

Date of this Application

Your Email

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