Storm Roster Submission

Company Name *

Company Point of Contact *

First Name *

Last Name *

Company Point of Contact Email Address *

example@example.com

Company Point of Contact Phone Number *

Please enter a valid phone number.

Date of dispatch in Local 649 jurisdiction *

Date

Location of Storm Work *

Are you working under the NECA/IBEW National Outside Construction Emergency Response Agreement? *

Yes

No

Please upload a file containing your list of employees that will perform storm work in Local 649 jurisdiction. This list must contain employee names, job classifications, and union affiliations *

Choose File

Storm Roster Submission

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