Portability Form – IBEW Local 292

Date*
MM slash DD slash YYYY
Contractor*
Type of Project*
- Maintenance
- Service
- Specialty
- New Construction
New Construction can be up to four (4) members
*Maintenance, service and specialty work shall be limited to 24 hours in duration or less. Employees must be cleared by their contractor for each project. All others must be cleared monthly.
Job*

Name of Job
Location*

Physical address in which job is located
Duration From*
MM slash DD slash YYYY
Duration To*
MM slash DD slash YYYY
Designated Supervisor (GF, Foreman) - 1 per job
Supervisor Home Local Card Number Classification
Electricians
Name Elec 1 Home Local Card Number Classification
Cleared bargaining unit employees must be a member of Local 292 / 110 / 343 or reciprocity applies. Apprentices are not a part of this agreement. Copies of payroll reports must be made available to each local upon request. The intent of this procedure is not to lay off in one local to hire in another. Two (2) violations of this procedure in a one (1) year period of time will nullify the 292 procedure for that contractor and the national procedure with reciprocity and in-person clearance will apply. I understand and agree to abide by the portability procedures of Local 292 / 110 / 343 / N.E.C.A.
Signature*
First Last
Signature Date*
MM slash DD slash YYYY
Email*

A copy of this form will be emailed to this address automatically

Name Elec 1	Home Local	Card Number	Classification