Phone: 262-633-2844
LOCAL 430
IBEW Local 430 TERMINATION NOTICE
IBEW Local 430 TERMINATION NOTICE
First Name:
Last Name:
Employer Email Address: 
Start Date:
Termination Date:
BECAUSE OF:  1. Reduction in force:
 2. Quit:
 3. Discharged for cause
Would you rehire? YES     NO
REQUIRED reason for termination for no rehire:
Employer:
Please noteOnce this form is submitted a copy will be emailed to IBEW 430 &  your email address provided above.  You will need to print or email the form you receive to the Employee. 

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Contact Info
IBEW Local 430
1840 Sycamore Ave
Racine, WI 53406
  262-633-2844

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