Union of Canadian Transport Employees - Local 20219

Debbie Ducharme, the Local Union's Membership Chairperson is responsible for maintaining accurate membership records for a number of reasons and your assistance is this regard is extremely important. If you have moved since your original application was submitted, or you have recently been hired into Federal Service (TSB, DFO-CCG, TC), please take a couple of minutes to complete and submit the form below. Thanks in advance for your cooperation and assistance.

REQUIRED INFORMATION

PSAC ID#:

Local:

Full Name:

Address:

Home Phone No.:

Work Phone No.:

Email Address:

Employer:

Branch:

Location:

Classification:

Do you require a new PSAC card?

Yes No

OPTIONAL INFORMATION
(Used to plan social events)

Marital Status:

No. of Children:

Age of Children:

Child #1 -
Child #2 -
Child #3 -

Child #4 -
Child #5 -
Child #6 -