Representative Information Form

Please read the following instructions carefully!
This form is for use ONLY by the USJE National Office and your Local. Complete the form by typing in the required information in the shaded areas.

IMPORTANT NOTE FOR LOCAL PRESIDENTS: to facilitate communication within our union, we are asking each Local President to permit us to publish his/her name, telephone number and email address on the USJE website.

Term of Office

Contact Information

Contact information changed because: