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COVID-19 Report Job Loss
1
What Local are you a member of?
IBEW 354
IBEW 354
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2
Your Name
First Name
Last Name
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3
Email
example@example.com
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4
Phone Number
Area Code
Phone Number
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5
When did you quit working because of COVID-19
-
Date
Year
Month
Day
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6
Employer
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7
Is there anything else you'd like us to know?
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