Local 222 Forms
Application for Withdrawal Card
Q: What is a withdrawal card and why is it so important?
A: If a member does not work any days in the bargaining unit during the current calendar month the member shall be issued an honorable withdrawal card upon request. All financial obligations including dues must be paid current at the time of the request. It is very important to request a withdrawal card in a timely manner as dues can accrue until a withdrawal card is requested. Upon returning to bargaining unit work, you, are required to contact the Local Union immediately to deposit your withdrawal card and return to “active” member status.
Q: What happens if I don’t request an honorable withdrawal card?
A: If a member does not request a withdrawal card, he/she shall stand suspended at the end of the third month, and shall not be entitled to any rights or privileges of membership. Upon returning to employment at the craft a re-initiation fee plus back dues will be required for entitlement to the rights and privileges of membership.
Update Personal Information with Local 222 – This form will only update your information at the Local Union Hall. If you need to update information with your insurance and/or pension that must be done separately.
Grievance Forms
**Go to your employer on the employer tab to locate grievance forms**
Insurance Forms
Utah Idaho Teamsters/Southwest Service Administrators Enrollment Form
Utah Idaho Teamsters/Southwest Service Administrators Retiree Enrollment Form – Direct Payment Authorization Form HERE
Utah Idaho Teamsters/Southwest Service Administrators Short Term Disability Form
Utah Idaho Teamsters/Southwest Service Administrators HRA Claim Form – Q&A HERE
For any other forms please call them at 855-292-7954 or visit their website at www.ssatpa.com
Teamsters Western Region & Local 177 Health Care Plan Enrollment Form
Teamsters Western Region & Local 177 Retiree Enrollment Form – Direct Payment Authorization Form HERE
Teamsters Western Region & Local 177 Short Term Disability Form
For any other forms please call them at 855-215-2039 or visit their website at wr177healthcare.com
Western Teamsters Welfare Trust Enrollment Packet
Western Teamsters Welfare Trust Retiree Enrollment Form
Western Teamsters Welfare Trust Disability Form
For any other forms please call them at 800-932-4790 or visit their website at nwadmin.com
