TEAMSTERS LOCAL 200

Monthly Stewards Report

Name Month Date

Company # Employed # Union


ADDITIONS

Last 4 of SS#	Name	Starting Date	Status *See Below

REMOVALS

Last 4 of SS#	Name	Last Day Worked	Reason

*Status

A - New Application Tr. In - Transferred In R - Reinstatement

W.C.R. - Withdrawal card Returned M - Active Member Give Former Place of Employment

Reports must be received by the 10th of the month - If 10th falls on a weekend you have until the following Monday to drop off/email your report to Local 200 - Or if you mail your report it must be postmarked no later than the 10th of the month.