TEAMSTERS LOCAL 200
Serving the Milwaukee, Fond Du Lac, Racine, and Kenosha Areas
 

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General Teamsters Local Union No. 200 Referral List Application
Last Name *
First Name *
Middle Initial
Last 4 digits of your Social Security Number *
Street Address or P.O. Box *
City *
State *
Zip *
Phone Number *
Email *
Are you a Member on a Withdrawal Card? *
License
Class A
Class B
Manual Restriction
Upload picture of front of driver’s license
Upload picture of back of driver’s license
Endorsements
Hazardous
Tanker
Passenger Bus
Doubles
Triples
Certifications
OSHA 40 hr.
Hazmat
OSHA Forklift
TWIQ Card
Experience
Warehouse Experience
Additional Qualifications
Do you have pipeline experience? *
If yes, list the last pipeline employer and last day worked
Do you have construction experience? *
If yes, list the last construction employer and last day worked
Do you have OSHA training? *
Upload a copy of the OSHA Certification
DOT CARD Expiration Date
Upload a copy of the DOT Card
Do you have OSHA 10? *
Upload a copy of OSHA 10 Certification
I certify that all the above information is true and correct.
Signature *

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Date *

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Teamsters Local 200
6200 West Bluemound Rd
Milwaukee, WI 53213
  414.771.6363


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