The Williamsport Joint Apprenticeship & Training Committee
500 Jordan Avenue, Montoursville, PA 17754 FAX#: 570-368-3461
**APPRENTICE
PAY RAISE FORM**
Date: _____________ Apprentice: ___________________________
Contractor Name:_________________________________________
Will
be eligible for pay raise effective:(________________________)
**His/Her
Base Rate will be _________% of the J. Wireman’s Base Rate@ $_______________.
**His/Her
Savings will be _________% of the J. Wireman’s Full Savings@ $_______________.
**His/Her
Annuity will be___________% of the J. Wireman’s Full Annuity@ $_____________.
(Any
Zone Pay will be added to his/her Base Rate in full, no percentage will be
taken on Zone Pay.)
O.J.T.
HOURS COMPLETED: _______________
Signatures
Required Below:
JATC COMMITTEE MEMBER:
____________________________________________
INSTRUCTOR:
________________________________________________________
JOB FOREMAN: ______________________________________________________
APPRENTICE:
_______________________________________________________
***********THIS
SPACE BELOW FOR OFFICE USE************
**LU
WORKING DUES (ASSESSMENTS):__________________(YES) (NO)
**(% OF LU
WORKING DUES/ASSESSMENTS)___________________%.
BASE RATE:
____________SAVINGS:____________ ZONE PAY:________
HEALTH & WELFARE: _____________
ANNUITY: ____________________
**PLEASE NOTE**(BASE RATE,
SAVINGS, & ZONE PAY ARE ADDED TOGETHER FOR TAXABLE RATE OF PAY.)
“ THIS PAY RAISE FORM SHOULD BE
TURNED INTO THE LOCAL UNION OFFICE NO LATER THAN THREE (3) DAYS PRIOR TO THE
EFFECTIVE DATE OF YOUR PAY RAISE.”
