IBEW LOCAL 17 RE-SIGN FORM
You must re-sign your name beginnning the 10th and ending the 16th of each month to remain on the books. Failure to do so will result in your name being removed from the books.
* Required
MM
/
DD
/
YYYY
LAST NAME
*
Your answer
FIRST NAME
*
Your answer
IBEW HOME LOCAL UNION #
Your answer
IBEW CARD NUMBER (IF AN IBEW MEMBER)
Your answer
BOOKS
AGREEMENT
*
Choose
6-17-A (A Agreement)
6-17-B (B Agreement)
6-17-C (C Agreement)
6-17-LCTT (Line Clearance Tree Trim Agt)
6-17-T (Teledata Agreement)
MECHANICS (Maintenance Agt)
CATV (Cable TV Agt)
JOINT USE
6-17-UU (Underground Agt)
OTHER
BOOK NUMBER
*
Choose
BOOK 1
BOOK 2
BOOK 3
BOOK 4
BOOK 5
APPRENTICE
OTHER
CLASSIFICATION
*
Choose
JRY LINEMAN
JRY SUBSTATION TECH
JRY SIGNAL TECH
JIW / ELECTRICIAN
OPERATOR
GROUNDMAN
JRY TREE TRIMMER
WOODSMAN
FOREMAN
APPRENTICE
POLE HAUL
CABLE SPLICER
MECHANIC
OTHER
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