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PPA Days Worked
You must be a member of CWA Local 1101 to submit this form. If you're not sure if you're a member, call the Union at 212-633-2666 to find out. Please fill in as much information as possible.
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First name
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Your answer
Last name
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Your answer
Production name of last job
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Your answer
Last day worked
Your answer
Supervisor/Coordinator name
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Dates worked
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Your cell phone number
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Your email
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