withdrawal card request

Notice: BE SURE TO GET A WITHDRAWAL CARD

It is important to get a withdrawal card from the Local Union if you do not work and are not being paid by your Employer. This applies if you terminate your employment, go on unpaid sick leave, workers compensation, a leave of absence, are laid off, or for any reason you do not work and are not being paid by your Employer. Members must request a withdrawal card. Failure to request a withdrawal card will make you responsible for all back dues and possibly a re-initiation fee. Your request should be submitted before the end of the month in which you last worked. A withdrawal card allows a member to maintain his or her membership on an inactive basis. In other words, you will not owe union dues for any months you did not work after you obtain the withdrawal card. Additionally, this allows you to avoid paying a re-initiation fee when you return to employment.

You can request a withdrawal by mail by clicking HERE to print the withdrawal form. Complete and mail or deliver in person at the address below during business hours.

Mail requests to:

Teamsters Local Union No. 769
12365 W. Dixie Hwy.
North Miami, Fl 33161

You may also request a withdrawal card using the form below.

NOTE: Withdrawing while continuing to be paid by your employer may result in back dues and a re-initiation fee.

Your Name (required)

Your Address (required)

Your Email (required)

phone number (required)

date of withdrawal (required)

Last 4 of SS# ONLY (required)

Employer Name (required)

last day worked (required)

Reason for Leaving (required)

additional comments

NOTE: Withdrawing while continuing to be paid by your employer may result in back dues and a re-initiation fee.


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