UA Local 392

Application for Registration - Traveler

Hiring Hall Plumbers, Pipefitters & Mechanical Equipment Service Local #392

Effective immediately, we are now moving to a digital submission process for adding your name to the out of work list. By doing so it no longer requires you to visit the hall to register. Through the end of the year we will continue to honor the paper faxes and email submissions.

IF YOU HAVE FILLED OUT THE FORM CORRECTLY, A CONFIRMATION SCREEN WILL APPEAR. IF YOU DO NOT SEE THE CONFIRMATION SCREEN, WE DID NOT GET YOUR SUBMISSION. IN ADDITION, WE WILL SEND A COPY OF YOUR SUBMISSION TO THE EMAIL ADDRESS THAT YOU PROVIDE.

Member Name *

Email *

Date of Birth *

Home Local # *

UA Card # *

Street *

City *

State *

Zip Code *

Home Phone

Cell Phone *

Social Security Number (Last 4 Only) *

Job Title

Plumber

Pipefitter

MES

Additonal Certifications

COATS card

TWIC card

List Qualifications

State you file unemployment

Ohio

Kentucky

Indiana

Other

Last Employer

Last Day Worked/ Lay-off Date

I hereby certify that the foregoing statements are true and correct

Signature *

Security Word *

* Refresh Image?

CLICK HERE FOR ACCESS TO THE ONLINE HIRING HALL REGISTRATION FORMS AND SUB CERTIFICATION FORM! FASTER, EASIERS SUBMISSIONS THAN EVER BEFORE

Application for Registration - Traveler

I hereby certify that the foregoing statements are true and correct

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