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Withdrawal Status / Transfer
If you have changed local unions or are going to be away from work for an extended period of time please request a withdrawal/transfer. If you have any questions, please call and speak to one of our helpful representatives, leave a message in the automated system: 714-995-4601 Option 4

note: Fields marked with an asterisk * are required.
* Name    
* Social Security #    
* Address    
* City     * State      * Zip  
* Phone    
* Email    
Last Day at Work    
Reason for Withdrawal    
If Changing Employers, New Employers    
If Changing Unions, New Union Local    
Additional Information (if any):
 
withdrawal