Phone: 608.244.6207
TEAMSTERS LOCAL 695
Request for a Withdrawal Card

Please request a withdrawal card if you are a member in good standing, with your dues paid current, who is no longer working at your represented workplace due to quit, discharge, layoff, retirement, or extended leave (in some circumstances).  A request does not guarantee that one will be issued to you. 

If you do not receive your withdrawal card within two weeks of your request, please call the Local Union office.

Full Name:
Address:
City, State, Zip:
Phone:
Last four of SSN:
Employer:
Last Day Worked:
Reason No Longer Working:
Email Address: 

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Contact Info
Teamsters Union Local No. 695
1314 N. Stoughton Road
Madison, Wisconsin 53714
  608.244.6207

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