TEAMSTERS LOCAL 439

Serving San Joaquin, Amador, Calaveras, and Tuolumne Counties
1531 E Fremont Street, Stockton, CA  95205   
  Tel: 209-948-9592    Toll Free: 1-866-439-3247      Fax: 209-948-3424



























         

 

 

 


 WITHDRAWAL REQUEST

Upon taking this Withdrawal Card, I do hereby certify under penalty of perjury that I have no pending claims under the Grievance Procedure of my Collective Bargaining Agreement and that I further have no claims to be asserted under the Grievance Procedure of my Collective Bargaining Agreement.

Your Email Address (username@server.com)
Last Name First Name

Last Four (4)  Digits of Your Social Security Number 

Employer
Job Classification

Daytime Telephone Evening Telephone

Street Address (123 StreetName)

City, State & Zip Code

Enter the LAST day you worked 
Enter as 00/00/00):


Click the Reason for Withdrawal:

  Disability
Terminated
Resigned
Changed to a Non-Union Position
Other
To be eligible for a withdrawal card, your initiation fees must be paid and your monthly dues must be current.  Are your dues current and initiation/transfer fees paid? YES
It is your responsibility to notify the Union immediately upon your return to a Teamster capacity.  Click here   to indicate you understand your responsibility:

     

 

   Please Print and Send Form to:

Teamsters Local No. 439
P.O. Box 1611 
Stockton, CA  95201-1611

Contact Local 439