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Reciprocity Forms - Transfer of Benefits

Find the Local for the area that you worked in below, click on the link, print, complete and mail to the address at the top of each form.

TRANSFER FORMS for Local #1090 Members Working Outside of our Jurisdiction

Local #174 (Carpenters) - Illinois Covering Will County (Verified & Updated 11/06/20)

Local #219 - (Previously #1548) - Baltimore, MD & Washington DC (Updated 09/04/24)

Local #219 - (Previously #1906) - Philadelphia, Pennsylvania (Verified & Updated 09/01/17)

Local #443 - (Previously #1024) - Western Maryland Covering the counties of Allegany, Garrett and Washington in Maryland and Berkeley, Grant, Hampshire, Hardy, Jefferson, Mineral, Morgan, and Pendleton in West Virginia. (Verified 02/08/21)

Local #443 - (Previously #1755) - West Virginia Covering the counties of Barbour, Boone, Braxton, Brooke, Cabell, Calhoun, Clay, Doddridge, Fayette, Gilmer, Greenbrier, Hancock, Harrison, Jackson, Kanawha, Lewis, Lincoln, Logan, Marion, Marshall, Mason, McDowell, Mercer, Mingo, Monongalia, Monroe, Nicholas, Ohio, Pleasants, Pocahontas, Preston, Putnam, Raleigh, Randolph, Ritchie, Roane, Summers, Taylor, Tucker, Tyler, Upshur, Wayne, Webster, Wetzel, Wirt, Wood and Wyoming (Verified & Updated 08/25/22)

Local #443 - (Previously #2235 & Local #2237) - Pennsylvania Covering the counties of Allegheny, Armstrong, Beaver, Bedford, Blair, Butler, Cambria, Cameron, Centre, Clarion, Clearfield, Clinton, Crawford, Elk, Erie, Fayette, Forest, Fulton, Greene, Huntington, Indiana, Jefferson, Lawrence, McKean, Mercer, Mifflin, Potter, Somerset, Venango, Warren, Washington and Westmoreland in Pennsylvania. (Verified 12/08/20)

Local #716 - Eastern Missouri (including St. Louis) & Southern Illinois (Verified 06/08/21)

Local #1102 - Michigan covering the State of Michigan. See Local #1510 for Upper Peninsula of Michigan (Verified & Updated 06/09/22)
Local #1176 - North Dakota (Verified & Updated 05/11/21)

Local #1192 - Central Alabama covering the counties of Autauga, Bibb, Blount, Bullock, Calhoun, Cherokee, Chilton, Clay, Cleburne, Coosa, Cullman, Dallas, Elmore, Etowah, Fayette, Greene, Hale, Jefferson, Lamar, Lowndes, Macon, Marshall, Montgomery, Perry, Pickens, Pike, Randolph, Shelby, St. Clair, Sumter, Talladega, Tallapoosa, Tuscaloosa and Walker (Verified & Updated 04/18/19)

Local #1192 - North Alabama / Mississippi / Tennessee covering the following Counties in Alabama: Parts of Jackson and Marshall. Colbert, Fayette, Franklin, Lamar, Lauderdale, Lawrence, Limestone, Madison, Marion, Morgan and Winston; the following Counties in Mississippi: Alcorn, Benton , Calhoun, Chickasaw, Choctaw, Clay, Itawamba, Lee, Lowndes, Monroe, Oktibbeha, Pontotoc, Prentiss, Tippah, Tishomingo, Union and Webster; the following Counties in Tennessee: parts of Franklin, Giles, Hardeman, Hardin, Lawrence, Lincoln, McNairy and Wayne (Verified & Updated 12/16/21)

Local #1192 - Gulf Coast - Alabama / Florida / Mississippi covering the following Counties in Alabama: Baldwin, Choctaw, Clarke, Conecuh, Covington, Escambia, Marengo, Mobile, Monroe, Washington and Wilcox; the following Counties in Florida: Bay, Calhoun, Escambia, Franklin, Gulf, Holmes, Jackson, Liberty, Okaloosa, Santa Rosa, Walton and Washington; the following Counties in Mississippi: Adams, Amite, Covington, Forrest, Franklin, George, Greene, Hancock, Harrison, Jackson, Jefferson Davis, Jones, Lamar, Lawrence, Lincoln, Marion, Pearl River, Perry, Pike, Stone, Wathall, Wayne and Wilkinson (Verified & Updated 04/18/19)

Local #1192 - Central Mississippi / Louisiana covering the following Counties in Mississipi: Attala, Carroll, Claiborne, Clarke, Copiah, Grenada, Hinds, Holmes, Humphreys, Issaquena, Jasper, Jefferson, Kemper, Lauderdale, Leake, Leflore, Madison, Montgomery, Neshoba, Newton, Noxubee, Rankin, Scott, Sharkey, Simpson, Smith, Sunflower, Winston, Warren, Washington and Yazoo; and the following Counties in Louisiana: Catahoula, Concordia and Madison (Verified & Updated 04/18/19)

Local #1121 - Maine, Massachusetts, New Hampshire, Rhode Island & Vermont (Verified & Updated 01/24/18)

Local #1510 - Michigan covering the Upper Peninsula of Michigan. See Local #1102 for the State of Michigan (Verified & Updated 06/09/22)

Local #1693 - Northeast Illinois (Chicago) covering the Counties of Cook, Lake and Dupage (Verified & Updated 06/04/21)

Local #1693 (Previously #1051) - Central Illinois (Peoria, Springfield) (Verified & Updated 06/13/23)

Local #2158 - Illinois - Zone 3 covering the counties of Jo Daviess, Stephenson, Winnebago, Boone & Ogle (Verified & Updated 11/03/17)
Local #2158 - Northwest Illinois - Zone 5 (Rockford) - Eastern Iowa (Verified & Updated 06/08/21)

7225 Sunset Strip Ave NW, N Canton, OH 44720

PH: 330.768.7138