Striker’s Certification Form

I certify that I am eligible to receive strike benefits under the rules of the Members’ Relief Fund.

These rules are as follows: you are a member in good standing with your local, you have participated at least 11-14 hours per week on the picket line as instructed by your strike captain, and you have not crossed the picket line at any time or location.

I understand that if I am found ineligible under the rules, I will return any payments I am not entitled to. This form IS REQUIRED in order to be considered eligible for relief funds.


A pdf of the completed form will be emailed to the address you specified in the “email address” field. Please retain a copy of this form for your personal records. If you have any questions, please email us at info@cwalocal9333.com or call us at 209-382-4033 for further information.

Commencing on the fifteenth day of a strike, $300.00 per striker per week will be provided, subject to availability of funds. Commencing on the twenty-ninth day of a strike, $400.00 per striker per week will be provided, subject to availability of funds.

If you’d rather download the form, print and sign it and turn it in to your steward, you may do so. The Striker’s Certification Form is available below: