Static1 1 sqspcdn staticfCATV-Underground Rebar REGISTRATION FORM FOR LOCAL 55 OUT-OF 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in your personal information. Ensure you print legibly, starting with your first name, middle initial, last name, and suffix if applicable.
3. Provide your Social Security number and date of birth. You may also indicate your race and sex as per the options provided.
4. Enter your permanent and temporary addresses along with the corresponding city, state, and zip code. Confirm if your permanent home is in Iowa and specify how long you've lived there.
5. Fill in your primary and secondary phone numbers, along with your email address for communication purposes.
6. Indicate whether you have a current DOT physical and provide details about your CDL class, endorsements, restrictions, and expiration date.
7. Select the appropriate membership status with IBEW Local Union and check the books you are signing for.
8. List any equipment or field-related experience by checking the relevant boxes. If necessary, add additional information on the back of the form.
9. Complete sections regarding certifications/endorsements and any contractors you cannot work for.
10. Finally, read through the Employment Referral Procedures before signing and dating the form to confirm your understanding.

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