On-Line Work Around Claim Form for Oak Harbor Teamsters

First Name: Oops! Last Name: Oops!

Local Union: Oops!

What day did you first contact Oak Harbor
and make yourself available for work? Oops!Invalid format.

What day did the company inform you
work was available for you? Oops!Invalid format.

What day did you officially report for work? Invalid format.Oops!

Did you need to take a Urine Analysis? Please enter Yes or No.

What day were you informed that you
needed to take a Urine Analysis? Oops!Invalid format.

What day did you receive paperwork from Oak Harbor
to go take a Urine Analysis? Oops!Invalid format.

What day did you go take the Urine Analysis? Oops!Invalid format.

What day were you notified that the Urine Analysis was clear? Oops!Invalid format.

Did you ask for any time that delayed your return to work? Yes or No

Was that time granted and for how long, if applicable? Yes or No

Was there any other delay for your return to work other than at your request?
If so, what was the reason for the delay and for how long?
A value is required.



On-Line Work Around Claim Form First Name: Oops! Last Name: Oops! Local Union: Oops! What day did you first contact Oak Harbor and make yourself available for work? Oops!Invalid format. What day did the company inform you work was available for you? Oops!Invalid format. What day did you officially report for work? Invalid format.Oops! Did you need to take a Urine Analysis? Please enter Yes or No. What day were you informed that you needed to take a Urine Analysis? Oops!Invalid format. What day did you receive paperwork from Oak Harbor to go take a Urine Analysis? Oops!Invalid format. What day did you go take the Urine Analysis? Oops!Invalid format. What day were you notified that the Urine Analysis was clear? Oops!Invalid format. Did you ask for any time that delayed your return to work? Yes or No Was that time granted and for how long, if applicable? Yes or No Was there any other delay for your return to work other than at your request? If so, what was the reason for the delay and for how long? A value is required.