CONTACT/ SUBSCRIBE – Brotherhood Rights

Name

First

Last

Email

Select all categories that apply:

I am Not an I.O. Rep. or previous I.O. Rep.
I am Not a Contractor (G.F. or Above)
I am an I.O. Rep.
I am a Contractor (G.F. or Above)

Choose all which apply to you.

Classification:

Yellow Ticket #

IBEW Local Union #

Have you worked in another local besides your home local and not received:

Full H&W funds from the contractual agreement you were working under.
SubFund when you met all requirements (allocated for use when unemployed)

Are you willing to keep up with your H&W wages, save your pay stubs and submit your losses to Brotherhood Rights, so they can be submitted as evidence for lost wages?

YES
NO

Would you like to be added to our mailing list?

YES
NO

Check Box

I affirm the above information is true and accurate.

Checking this box is legally the same as signing your name. You certify that you are the person named above and all information is true and correct. Which includes the categories section above.

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