×
Forgot Login?
Return to Work Form

Please complete the below form upon your return to work after being on withdrawal card.

Name:
Address:
Phone Number:
Email Address:
Date Returned To Work:
Company:

Signature:

Use your mouse, finger, or touch device to write your signature.


-
Teamsters Local 317
566 Spencer Street
Syracuse, NY 13204
  315-471-4164

Top of Page image
Powered By UnionActive - Copyright © 2024. All Rights Reserved.