IBEW Local 86 - Rochester, NY

TO WHOM IT MAY CONCERN: I request a withdrawal on my Vacation Fund for:
dues:
personal:
*name:
*email:
*card #:
*address: optional:
*city:
*state	*zip
If sending electronically you must pick-up the check in person at Local 86.†
† In order for a check to be mailed you must print out the Vacation Form PDF (61 KB), sign and mail or fax it in.

A reminder - vacation withdrawals must be requested with 24 hours notice. Your check will be available for pick up at noon of the following day. Any withdrawal requests must be made by the member and signed for by the member. Questions? E-mail: vacation@ibewlu86.com

IBEW Local #86 • 2300 E. River Road • Rochester, NY 14623
Telephone: (585) 235-1510 • 800-356-7090 • Fax: (585) 235-0420