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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


            External link opens in new tab or windowUBC Millwright Locals - UBCmillwrights.org


            • External link opens in new tab or windowLocal #102 - Northern California (Verified & Updated 10/15/21)

            • External link opens in new tab or windowLocal #174 (Carpenters) - Illinois  Covering Will County (Verified & Updated 11/06/20)

            • External link opens in new tab or windowLocal #216 - Arkansas / Oklahoma (Verified & Updated 12/16/21)

            • External link opens in new tab or windowLocal #219 - (Previously #1548) - Baltimore, MD & Washington DC  (Updated 08/30/18)

            • External link opens in new tab or windowLocal #219 - (Previously #1906) - Philadelphia, Pennsylvania (Verified & Updated 09/01/17)

            • External link opens in new tab or windowLocal #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 02/08/21)

            • External link opens in new tab or windowLocal #443 - (Previously #1402) - Virginia (Verified & Updated 09/01/17)

            • External link opens in new tab or windowLocal #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 (Verified & Updated 08/25/22)  

            • External link opens in new tab or windowLocal #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 12/08/20)

            • External link opens in new tab or windowLocal #548 - Northwest Wisconsin & Southern Minnesota (Verified 05/23/22)

            • External link opens in new tab or windowLocal #715 - New Jersey (Verified & Updated 05/11/21)
            • External link opens in new tab or windowLocal #716 - Eastern Missouri (including St. Louis) & Southern Illinois (Verified 06/08/21)
            • External link opens in new tab or windowLocal #729 - Louisiana (Verified 04/19/22)

            • External link opens in new tab or windowLocal #740 - New York  (Verified & Updated 08/30/18)

            • External link opens in new tab or windowLocal #1056 - Wisconsin
            • External link opens in new tab or windowLocal #1091 - North Dakota  (Verified & Updated 08/24/22)
            • External link opens in new tab or windowLocal #1000 & Local #2411 - Florida
            • External link opens in new tab or windowLocal #1076 - Indiana/Kentucky (Verified & Updated 08/08/18)

            • External link opens in new tab or windowLocal #1102 - Michigan covering the State of Michigan.  See Local #1510 for Upper Peninsula of Michigan (Verified & Updated  06/09/22)
            • External link opens in new tab or windowLocal #1176 - North Dakota (Verified & Updated 05/11/21)

            • External link opens in new tab or windowLocal #1192 - Central Alabama covering the counties of Autauga, Bibb, Blount, Bullock, Calhoun, Cherokee, Chilton, Clay, Cleburne, Coosa, Cullman, Dallas, Elmore, Etowah, Fayette, Greene, Hale, Jefferson, Lamar, Lowndes, Macon, Marshall, Montgomery, Perry, Pickens, Pike, Randolph, Shelby, St. Clair, Sumter, Talladega, Tallapoosa, Tuscaloosa and Walker (Verified & Updated 04/18/19)

            • External link opens in new tab or windowLocal #1192 - North Alabama / Mississippi / Tennessee covering the following Counties in Alabama: Parts of Jackson and Marshall. Colbert, Fayette, Franklin, Lamar, Lauderdale, Lawrence, Limestone, Madison, Marion, Morgan and Winston; the following Counties in Mississippi: Alcorn, Benton  , Calhoun, Chickasaw, Choctaw, Clay, Itawamba, Lee, Lowndes, Monroe, Oktibbeha, Pontotoc, Prentiss, Tippah, Tishomingo, Union and Webster; the following Counties in Tennessee: parts of Franklin, Giles, Hardeman, Hardin, Lawrence, Lincoln, McNairy and Wayne (Verified & Updated 12/16/21)

            • External link opens in new tab or windowLocal #1192 - Gulf Coast - Alabama / Florida / Mississippi covering the following Counties in Alabama: Baldwin, Choctaw, Clarke, Conecuh, Covington, Escambia, Marengo, Mobile, Monroe, Washington and Wilcox; the following Counties in Florida:  Bay, Calhoun, Escambia, Franklin, Gulf, Holmes, Jackson, Liberty, Okaloosa, Santa Rosa, Walton and Washington; the following Counties in Mississippi:  Adams, Amite, Covington, Forrest, Franklin, George, Greene, Hancock, Harrison, Jackson, Jefferson Davis, Jones, Lamar, Lawrence, Lincoln, Marion, Pearl River, Perry, Pike, Stone, Wathall, Wayne and Wilkinson (Verified & Updated 04/18/19)

            • External link opens in new tab or windowLocal #1192 - Central Mississippi / Louisiana covering the following Counties in Mississipi: Attala, Carroll, Claiborne, Clarke, Copiah, Grenada, Hinds, Holmes, Humphreys, Issaquena, Jasper, Jefferson, Kemper, Lauderdale, Leake, Leflore, Madison, Montgomery, Neshoba, Newton, Noxubee, Rankin, Scott, Sharkey, Simpson, Smith, Sunflower, Winston, Warren, Washington and Yazoo; and the following Counties in Louisiana:  Catahoula, Concordia and Madison (Verified & Updated 04/18/19)

            • External link opens in new tab or windowLocal #1121 - Maine, Massachusetts, New Hampshire, Rhode Island & Vermont (Verified & Updated 01/24/18)

            • External link opens in new tab or windowLocal #1121 - Connecticut (Verified & Updated 01/24/18)

            • External link opens in new tab or windowLocal #1163 - New York
            • External link opens in new tab or windowLocal #1263 - Georgia / Carolinas
            • External link opens in new tab or windowLocal #1348 - Northern Minnesota

            • External link opens in new tab or windowLocal #1421 - Texas (Verified & Updated 12/16/21)

            • External link opens in new tab or windowLocal #1463 - Nebraska & Western Iowa (Verified & Updated 01/14/21)

            • External link opens in new tab or windowLocal #1510 - Michigan covering the Upper Peninsula of Michigan.  See Local #1102 for the State of Michigan (Verified & Updated  06/09/22)

            • External link opens in new tab or windowLocal #1529 - Kansas

            • External link opens in new tab or windowLocal #1554 - Tennessee

            • External link opens in new tab or windowLocal #1607 - California (Verified & Updated 10/05/21)

            • External link opens in new tab or windowLocal #1693 - Northeast Illinois (Chicago) covering the Counties of Cook, Lake and Dupage (Verified & Updated 06/04/21)

            • External link opens in new tab or windowLocal #1693 (Previously #1051) - Central Illinois (Peoria, Springfield) (Verified & Updated 06/08/21)

            • External link opens in new tab or windowLocal #2158 - Illinois - Zone 3 covering the counties of Jo Daviess, Stephenson, Winnebago, Boone & Ogle (Verified & Updated 11/03/17)
            • External link opens in new tab or windowLocal #2158 - Northwest Illinois - Zone 5 (Rockford) - Eastern Iowa (Verified & Updated 06/08/21)

            • External link opens in new tab or windowLocal #2232 - Texas (Verified & Updated 02/15/23)
            • External link opens in new tab or windowLocal #2337 - Wisconsin (Milwaukee) (Verified & Updated 12/16/21)
            • External link opens in new tab or windowTransfer Forms - Blank


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            7225 Sunset Strip Ave NW, N Canton, OH  44720

            PH:  330.768.7138


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