Portability Clearance Form 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 JobLocation* Physical address in which job is locatedDuration From* MM slash DD slash YYYY Duration To* MM slash DD slash YYYY Designated Supervisor (GF, Foreman) - 1 per jobSupervisorHome LocalCard NumberClassificationElectriciansName Elec 1Home LocalCard NumberClassification 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
