T 340 Withdrawal Card

When to request a withdrawal card

A member may request a withdrawal card when the member leaves their industry because of retirement, resignation, layoff or discharge, and is in good standing with the Local.

Additionally, a member who goes on Workers Compensation becomes eligible for a withdrawal card when the member is no longer receiving benefits under a collective bargaining agreement (“CBA”), and the member is therefore no longer covered by the CBA. Likewise, a member is eligible for a withdrawal card when they have exhausted their FMLA or other leave of absence, and are no longer covered by a CBA.

Member’s Responsibility

When a member returns to active duty after withdrawal or suspension, it is the member’s responsibility to inform the Union of his or her return to active duty.

Suspension

When a member does not request a withdrawal card, and dues are not collected for three (3) consecutive months, the member shall be placed into suspension status, and will not be considered a member in good standing. When the member becomes active, the member shall be responsible for three (3) months of dues and retention fee. If the member becomes active and does not inform the Union of his or her return to work, the member shall be responsible for all months forward as well.

Please do not hesitate to call Local 340 to discuss your right to take a withdrawal card, and how doing so can reduce or eliminate the potential for the obligation to pay back dues and a retention fee if a break in service occurs.

Please provide the following information to Local 340 to obtain an official withdrawal card. A withdrawal card ensures no dues are collected when you are not an active member of the union.

Full name
Street address
Last 4 of SSN
Reason for requesting a withdrawal card

You may obtain a withdrawal card in one of the following ways

Send a letter to the union hall with the above information requesting a withdrawal card be mailed to you.
Visit the union hall to request a withdrawal card.
Fill out the form below to be mailed a withdrawal card.

Name*

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.

Date of Birth*

Date

Last 4 of SSN*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Employer

Last Date of Employment*

Return Date

If Applicable

Reason for Requesting a Withdrawal Card*