IBEW 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 note : Once 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.

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