30 DAY RE-SIGN

30 DAY RE-SIGN
Date:*

MonthDayYear
Date
Name*

First NameMiddle InitialLast Name
Social Security Number*
Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com
Local Union Number*
Membership Card Number*
Signature*

Clear
NOTE: Re-signs will only be accepted between the 1st and 25th of each month.
If you are re-signing by sending a fax, email or letter, you need to call the Lanham office to confirm their receipt of your fax, letter or email. You may contact the Local 26 Lanham office at: (301) 459-2900 or 1-888-344-4239.

If you are a Journeyman Wireman or an Instrumentation Tech, you need to ask for the A-Referral office. If you are a Residential Wireman, Residential Electrician or in the Teledata Unit, ask for the R-Referral office.
Should be Empty: