Get a Withdrawal Card When You Leave Your Job

Be sure you request a withdrawal card when being laid-off, going on leave of absence, lengthy medical leave, or terminating your employment. There is no charge for a withdrawal card but all initiation fees and back dues must be paid before the withdrawal card is issued. Stop by the office, or complete the form and mail it to our office.

It is your responsibility to obtain a Withdrawal Card so please take care of it as soon as possible after leaving the company, so that you will not be obligated to pay extra dues. Failure to request a Withdrawal Card may cause you to pay back dues.

In accordance with Article CVIII, Section 6(i) of the IBT Constitution, "It shall be compulsory for any active member on withdrawal card to deposit his withdrawal card immediately upon return to employment at the craft."

Mail to:

Teamsters Local 340
P.O. Box 2290
South Portland, ME 04116-2290

Withdrawal Card Request

Name _________________________________________________________________________

Social Security # _________-_______-_________

Home Phone No. ________-________-_________

Address _______________________________________________________________________

_______________________________________________________________________________

My Last Day of Work _______/_______/________

Name of Employer ______________________________________________________________

Reason for Leaving _____________________________________________________________
(Quit, Laid off, Terminated, etc.)

 _______________________________________________________________________________
(Signature)