Forms

Use the following forms to update your membership records and handle other tasks:

 

Pay Dues

Use PayPal to pay your dues quickly and conveniently online. Click the links below to pay your dues for the appropriate quarter. Click View Cart to check your payment.

 
1 Quarter Dues
2 Quarter Dues
3 Quarter Dues
4 Quarter Dues

Sign up for PayPal and start accepting credit card payments instantly.

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Membership Recommendation

Please complete the form below and click Submit to send the form electronically to IBEW 222.

Applicant name:
  

Classification:
  

How long and where have you worked with the applicant?
 

What type of work did you perform with the applicant?
 

Do you consider the applicant to be proficient at his/her job?
  Yes No

Do you consider the applicant to be qualified for the classification they are applying for?
  Yes No

Why would you recommend the application for membership or classification change?
 
Other Comments:

Recommended by:

Full name:  
Card number:  

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Change of Address

Please complete the form below and click Submit to send the form electronically to IBEW 222.

Full name:

  

Card number:

  

Phone number:

  
   

Old address:

  
   

New address:

  

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Termination Notice

Please complete the form below and click Submit to send the form electronically to IBEW 222. You can also print the form and mail it to the address shown at the bottom of the form.

We wish to advise that on:

The Union member:

Whose seniority date is:

And whose social security # is:

Has been separated as a result of:

  
Layoff Quit Discharge Special

Reason:

To Employee: If you disagree with the reason for Termination as stated herein, report such disagreement in your Local Union at once.

IBEW Local Union #222
17850 North US Highway 441
Reddick, FL  32686-2726

Contractor Name:

Federal ID #:
  
  (numbers only)
 

  

Authorized By:

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