Get a Withdrawl Card
Before You Leave Your Job!
Teamsters Local 283 Withdrawl Card Request


Name______________________________________________________________

S.S. Number___________________________Phone No._____________________

Address____________________________________________________________

City, State, ZIP_______________________________________________________

Company___________________________________________________________

My Last Day of Work__________________________________________________

Reason for Requesting Withdrawl Card____________________________________

__________________________________________________________________

Date____________________________Signature___________________________
THE INTERNATIONAL BROTHERHOOD OF TEAMSTERS CONSTITUTION GOVERNS
PROCEDURES FOR ISSUANCE OF WITHDRAWL CARDS
In order to keep from being suspended, you need to request a withdrawl card when being laid-off, going on a
leave of absence, lengthy medical leave, or terminating your employment. You must request this withdrawl
within 90 days of your last day of work.  It is your "responsibility" to obtain a withdrawl card.  Failure to
request a withdrawl card may cause you to pay back dues and/or re-initiation fees
. Remember that all
initiation fees and back dues must be paid before the withdrawl card can be issued (you must be paid
current and in good standing).

It is your option to get a withdrawl, if you do not wish to withdraw from the union it will be your responsibility to
pay your dues while you are off.  You may continue to pay your dues up to six (6) months.

Mail to: Teamsters Local 283                                                   
1625 Fort St., Wyandotte MI  48192
(734) 282-8850