TEAMSTERS LOCAL 72
FORMS
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We now have two forms that relate to your Personal History File. The first form lets request of copy of your PH file. The second will let you list the items that you would like removed from you file. To view and print these forms you'll need Adobe's Acrobat Reader.
Click here for the first form. (Use this form to request a copy of your PH Folder) Click here for the second form. (Use this form to request the removal of items from your PH Folder) (PDF) Change of Address Form (Email) Change of Address Form Local 72 Schedule of Allowances for Dental Plan. Dental Form Group # GG 258 Davis Vision Reimbursement Claim Form for non participating providers
Important : When filling out the employee enrollment form you must send a birth certificate for you children and a marriage certificate for your spouse (PDF) Enrollment Form For Dependents (Email) Enrollment Form for Dependents Life Insurance Form (Please contact our NY Office or your Business Agent)
Union members are reminded that they must send a letter to Local 72 office withdrawing from the Union when on a leave of absence, layoff, when employment is terminated not pending arbitration or take a job promotion to a different bargaining unit. You are liable for the dues for the month in which you withdraw. You must continue to pay dues when on disability, workers' compensation, line of duty injury or when suspended awaiting arbitration. Withdrawal is YOUR responsibility. Failure to pay dues for a period of three months will result in suspension of membership and privileges. Send or fax your letter to the New York Office. (remember to keep a copy) (PDF) Withdrawal Form (Email) Withdrawal Form Withdrawal form.html
James R. Hoffa Memorial Scholarship Fund click here Union Privilege scholarships click here |
