New Request Form

Any fields with an asterisk are required. Any fields without an asterisk are not required but would help us greatly in finding your record.

If you do not know your IAM card number or local number or need assistance making your request contact IAM Membership Services at 301-967-4525.

*Form and/or Ballot:

*First Name:

Middle Initial:

*Last Name:

*Local:

*Card No:

*Email:

*Street:

*City:

*State/Province:

*Zip/Postal Code:

Phone:

*Reason for your request:

Cancel

This is the website of the Independent Monitor Company - Merriman River Group