Please fill out the required fields below to ensure we respond appropriately to your request.  Thank you in advance!

 
Please select the correct event in which you are reporting *
If you are notifying us that a Local 808 member has experienced a death in the family, you must provide the name of the deceased below.
Please select from the drop down box, the relationship to Local 808 member
Member Name *
Member Name
Agency where our Local 808 member is employed.
Is there anything else that you would like us to know? Please explain here:
Address of Local 808 member *
Address of Local 808 member
Please provide an address to where a greeting card or spiritual should be mailed
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