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
				Home

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. The charge for the
withdrawl card is only .50 cents.  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.

Enclose .50 cents                                                        Mail to: Teamsters Local 283
Check, Money Order                                                   1625 Fort St., Wyandotte MI  48192
or Coin (tape coin to form)                                          (734) 282-8850