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The IBT Safety and Health Department will use this information to track and report on Teamster events to observe Workers’ Memorial Day.

Local Union:              _____________________________________________

Contact Person:        _____________________________________________

Email/Phone:             _____________________________________________

Description of activities/events that are planned or took place (include when and where):

_____________________________________________________________________________

_____________________________________________________________________________

Which organization(s) organized event: ___________________________________________

_____________________________________________________________________________

Which organization(s) participated in event: _______________________________________

_____________________________________________________________________________

The number of people participating in activities:

_____________________________________________________________________________

Media present (list): ___________________________________________________________

Please send this information as soon as possible to:

Safety and Health Department, International Brotherhood of Teamsters
25 Louisiana Avenue, N.W. Washington, D.C. 20001
Tel: 202-624-6960
E-Mail Address: ibtsafety@teamster.org