Permit Request

This form is for ALL non-484 members.

If you have already been offered work on a production, please provide your start date below.

If you are currently looking for work, please provide additional notes below.

**You will not be approved for work until the Local 484 roster has been exhausted**

All sections need to be filled out in order to proceed.

First name:
Last Name:
Nickname:
Email Address:
Phone Number:
Mailing Address:
City, State, Zip:
Production you have been offered work on:
Craft/Position:
Hire Type:
Start Date:
Estimated Time on Project:
*Home Local Union # (if you are not a member of IATSE, do not list 484 as your home local):*
Home Local Business Agent:
Additional Information for IATSE 484:
Please download the 3% Deduction Consent Form Here	and email it to office@iatse484.org