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.

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