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            Reciprocity Forms - Transfer of Benefits


            Find the Local for the area that you worked in below, click on the link, print, complete and mail to the address at the top of each form.



            TRANSFER FORMS for Local #1090 Members Working Outside of our Jurisdiction


            • Local #102 - Northern California (Verified & Updated 08/30/18)
            • Local #216 - Arkansas / Oklahoma (Verified & Updated 03/29/18)
            • Local #219 - (Previously #1548) - Baltimore, MD & Washington DC  (Updated 08/30/18)
            • Local #219 - (Previously #1906) - Philadelphia, Pennsylvania (Verified & Updated 09/01/17)
            • Local #443 - (Previously #1024) - Western Maryland Covering the counties of Allegany, Garrett and Washington in Maryland and Berkeley, Grant, Hampshire, Hardy, Jefferson, Mineral, Morgan, and Pendleton in West Virginia.  (Verified & Updated 12/08/17)
            • Local #443 - (Previously #1402) - Virginia (Verified & Updated 09/01/17)
            • Local #443 - (Previously #1755) - West Virginia Covering the counties of Washington and Athens in Ohio; Barbour, Boone, Braxton, Calhoun, Clay, Doddridge, Fayette, Gilmer, Greenbrier, Harrison, Jackson, Kanawha, Lewis, Logan, Marion, Mason, McDowell, Mercer, Mingo, Monongalia, Monroe, Nicholas, Pleasants, Pocahontas, Preston, Putnam, Raleigh, Randolph, Ritchie, Roane, Summers, Taylor, Tucker, Tyler, Upshur, Webster, Wetzel,  Wirt, Wood and Wyoming
            • Local #443 - (Previously #2235 & Local #2237) - Pennsylvania  Covering the counties of Allegheny, Armstrong, Beaver, Bedford, Blair, Butler, Cambria, Cameron, Centre, Clarion, Clearfield, Clinton, Crawford, Elk, Erie, Fayette, Forest, Fulton, Greene, Huntington, Indiana, Jefferson, Lawrence, McKean, Mercer, Mifflin, Potter, Somerset, Venango, Warren, Washington and Westmoreland in Pennsylvania.  (Verified & Updated 12/08

            • Local #548 - Northwest Wisconsin & Southern Minnesota (Verified 12/06/18)

            • Local #715 - New Jersey
            • Local #716 - Eastern Missouri & Southern Illinois
            • Local #729 - Louisiana
            • Local #740 - New York  (Verified & Updated 08/30/18)
            • Local #1051 - Central Illinois (Peoria, Springfield)
            • Local #1056 - Wisconsin
            • Local #1091 - North Dakota
            • Local #1000 & Local #2411 - Florida
            • Local #1076 - Indiana/Kentucky (Verified & Updated 08/08/18)
            • Local #1102 - Michigan (Verified & Updated 09/01/17)
            • Local #1192 - Alabama / Mississippi
            • Local #1121 - Maine, Massachusetts, New Hampshire, Rhode Island & Vermont (Verified & Updated 01/24/18)
            • Local #1121 - Connecticut (Verified & Updated 01/24/18)
            • Local #1163 - New York
            • Local #1263 - Georgia / Carolinas
            • Local #1348 - Northern Minnesota
            • Local #1421 - Texas
            • Local #1463 - Texas

            • Local #1529 - Kansas

            • Local #1554 - Tennessee
            • Local #1607 - California
            • Local #1693 - Northeast Illinois (Chicago) (Verified & Updated 10/27/17)
            • Local #2158 - Northwest Illinois (Rockford) - Eastern Iowa (Verified & Updated 11/03/17)
            • Local #2158 - Illinois - Zone 3 covering the counties of Jo Daviess, Stephenson, Winnebago, Boone & Ogle (Verified & Updated 11/03/17)
            • Local #2232 - Texas
            • Transfer Forms - Blank


            Learn More



            47 Alice Drive , Akron, OH

            3307731090


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