Local 302 Portability Registration Form

Local 302 Portability Registration Form

Enter your personal information and employment details, project information, clearance duration, and upload your dues receipt. Dispatcher will respond to confirm receipt of this form. The dispatcher will also send you a copy of your clearance form to the email provided.
If you do not have a middle name, please type "N/A" in the middle name box.
Full Name

First NameMiddle NameLast Name
IBEW Card Number
Social Security Number
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Home Local Number
Job Classification
Current Employer
Dispatched from which Local #?
Project Name
Project Address

Street Address

Street Address Line 2
CityStateZIP Code
Duration of Clearance
All clearances are the individual members responsibility. Members must renew their clearance before the expiration date provided by the dispatcher. To renew your clearance, you must call the Local 302 office at (925)228-2302.
Project Start Time

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hour MinutesAM/PM Option
Attach a Copy of Member's Current Dues Receipt

Cancelof
Should be Empty: