Company #  Employed #  Union

*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.