Lay Off Notice
Fill Out this form to let the JATC Office know you were laid off.
Name
*
First Name
Last Name
Date You were Laid off On
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Current Year in Program
*
Please Select
CW
1st
2nd
3rd
4th
5th
Contractor Who Laid you off
*
I understand I still have to turn in a work report for the time I was working for my contractor
*
I understand
I understand I must notify the IBEW as well of the lay off
*
I understand
Submit
Should be Empty: