Dairy Farmers of America

Business Agent

Marty Cowin

Direct Line: 801-304-3452

Office Line: 801-972-1898 ext. 15

Marty@teamsterslocal222.org

Stewards

Contract

DFA Salt Lake City Contract

DFA Assumption Agreement

Forms

Membership Application Form

Grievance Form

Grievance Form Printable

Application for Withdrawal Card

Life with Dues Beneficiary Form

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.

Insurance

Utah Idaho Teamsters/Southwest Service Administrators

855-292-7954

Utah Idaho Teamsters/Southwest Service Administrators Website

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 Change of Address Form

Utah Idaho Teamsters/Southwest Service Administrators Change of Address – The most efficient way to update your address with the insurance is to log in to your ssaportal at www.ssatpa.com.

Log into ssaportal and click on the “My Account” application then click on the the “Change Address” button. Click on Apps. Select change address. Select update my information & enter current info. Make sure to select update.

Pension

Western Conference Teamsters Pension

800-531-1489

Western Conference Teamsters Pension Website

Western Conference of Teamsters Pension Beneficiary Designation Form (English)

Western Conference of Teamsters Pension Beneficiary Designation Form (Spanish)

Retired Western Conference of Teamsters Pension Beneficiary Designation Form (English)

Western Conference of Teamsters Pension Change of Address Form

Teamsters 401(k)

Teamsters-National 401(k) Savings Plan

877-778-2100

Teamsters-National 401(k) Savings Plan Website