Return to Work Form

Return to Work Form

If you're a member of Local 845 who has returned to work on a project outside of Local 845's jurisdiction, please complete this form to notify us.
Local 845 Email
example@example.com
Local 845
Your Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Book Number*
If you do not have a Book Number yet, enter last 4 of your SSN:
Complete with the info of your current job:
Type of work:*

ReinforcingPrecast ConcreteStructural SteelTowerSolarGlass & Curtain WallWelding & BurningPre-Engineered BuildingOrnamental/ArchitecturalIndustrial MaintenanceWind TurbineOther
Name/Description of Project*
Jobsite Location*

Street Address

Street Address Line 2

CityState

Zip Code
Hire Date*

MonthDayYear
Date
Date job is expected to end*

MonthDayYear
You may enter an approximate date.
Contractor Name*
Contractor Address

Street Address

Street Address Line 2

CityState

Zip Code
Is the job union?*

YesNo
Enter union name and local:*
i.e., Iron Workers Local 387
What is the hourly wage?*
What is the per diem?*
Should be Empty:

Complete with the info of your current job: