IBEW 110 • ST. PAUL, MN
Doug Suchanek
Business Manager/Financial Secretary
(651) 776-4239
info@ibew110.org
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Local Portability Form
Please submit before commencing work
Effective May 1, 2014, all requests must be submitted by 3:00 p.m. Monday - Friday. Requests received after 3:00 p.m. will be addressed on the next business day.
Employer Details
Date
*
Employer Name
*
Email Address:
*
Type Of Project
-- select --
Maintenance - No more than two (2) employees
Service - No more than two (2) employees
Specialty - No more than two (2) employees
New Construction - No more than four (4) employees
*
Maintenance, service and specialty work shall be limited to 24 hours in duration or less. Employees must be cleared by their contractor for each project. All others must be cleared monthly.
Job Details
*
Job
*
Street
*
City
*
State
-- select --
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*
Zip Code
*
From Date
*
To Date
*
Regarding the From/To Dates Above: You may not specify months that exist in the future. You also must specify a date range that exists within the same month.
Employee #1:
*
First Name
*
Last Name
*
Home Local #
*
Card #
*
Class:
-- select --
JW
Jobber
Supervisor
Apprentice
*
Is your employee registered on the Electronic Reciprocal Transfer System(ERTS)?:
*
If you answered no, please have your employee register at the home local union before coming to Local 110 to work
Yes
No
*
Do you plan to utilize ERTS and submit benefits and dues to Local 110 Benefits Office on behalf of this worker?:
*
if YES, select this box...
*
If NO, you must click on the Portability Dues Form and download or print out and mail to the IBEW 110 Accounting Office, along with your check for payment of Portability Dues at the end of this month.
Yes
No
Employee #2:
First Name
Last Name
Home Local #
Card #
Class:
-- select --
JW
Jobber
Supervisor
Apprentice
Is your employee registered on the Electronic Reciprocal Transfer System(ERTS)?:
If you answered no, please have your employee register at the home local union before coming to Local 110 to work
Yes
No
Do you plan to utilize ERTS and submit benefits and dues to Local 110 Benefits Office on behalf of this worker?:
if YES, select this box...
*
If NO, you must click on the Portability Dues Form and download or print out and mail to the IBEW 110 Accounting Office, along with your check for payment of Portability Dues at the end of this month.
Yes
No
Employee #3:
First Name
Last Name
Home Local #
Card #
Class:
-- select --
JW
Jobber
Supervisor
Apprentice
Is your employee registered on the Electronic Reciprocal Transfer System(ERTS)?:
If you answered no, please have your employee register at the home local union before coming to Local 110 to work
Yes
No
Do you plan to utilize ERTS and submit benefits and dues to Local 110 Benefits Office on behalf of this worker?:
if YES, select this box...
*
If NO, you must click on the Portability Dues Form and download or print out and mail to the IBEW 110 Accounting Office, along with your check for payment of Portability Dues at the end of this month.
Yes
No
Employee #4:
First Name
Last Name
Home Local #
Card #
Class:
-- select --
JW
Jobber
Supervisor
Apprentice
Is your employee registered on the Electronic Reciprocal Transfer System(ERTS)?:
If you answered no, please have your employee register at the home local union before coming to Local 110 to work
Yes
No
Do you plan to utilize ERTS and submit benefits and dues to Local 110 Benefits Office on behalf of this worker?:
if YES, select this box...
*
If NO, you must click on the Portability Dues Form and download or print out and mail to the IBEW 110 Accounting Office, along with your check for payment of Portability Dues at the end of this month.
Yes
No
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