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 #740 - New York (Verified & Updated 08/30/18)
- Local #1102 - Michigan (Verified & Updated 09/01/17)
- Local #1121 - Maine, Massachusetts, New Hampshire, Rhode Island & Vermont (Verified & Updated 01/24/18)
- Local #1121 - Connecticut (Verified & Updated 01/24/18)
- 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)