IBEW Local 125
IBEW Local 125
 

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Temporary Online Book Signing

Please call (503)262-9125 if you have questions.

Temporary Online Book Signing
Name: *
Email: *  
Last 4 SS# *
Street/Box No: *
City/State/Zip: *
Member LU#  
IBEW Card Number:  
DuesPdThruDate:  
Classification * 
Book #:      
Phone #1: *    
Phone #2:       
Drivers License: *   State: *
CDL/Class: *        
Endorsements: Tanker  Doubles  Triples  Hazmat Airbrakes
1st Aid/CPR: *
1st Aid/CPR Expiration:
Flagger: *
Flagger Expiration:
Crane Cert:  NCCO  CIC Ton:   

Other:

OSHA 10

Line School Grad
(need picture of completion certificate)

Other Certifications:
Last Employer:
Last Day Worked:

Once you complete the form you will receive an email requesting current dues receipt,

Letter of Introduction, dues deduction, proof of certifications and line school if applicable.

There will be a Dues Deduction Authorization form that will be sent that you will need to sign.

You will NOT be put on the books until we receive all requested paperwork. 

If you are currently working in the trade you can not sign the out of work books.

*Required Fields


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IBEW Local 125
17200 NE Sacramento St
Portland, OR 97230
  503-262-9125

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