• Britt Miller

Direct Line: 801-304-3455

Office Line: 801-972-1898 ext. 17

Britt@teamsterslocal222.org

Represents Feeder drivers statewide and Provo

• Jeff Steffon

Direct Line: 801-304-3456

Office Line: 801-972-1898 ext. 18

Steffon@teamsterslocal222.org

Represents members at the Airport, LKE Hub, and St. George

• Gabriella Killpack

Direct Line: 801-988-5581

Office Line: 801-972-1898 ext. 26

Gabriella@teamsterslocal222.org

Represents members at LKE Package & Preload, Delta, Salina, and Cedar City

• Mike Bashor

Direct Line: 801-304-3453

Office Line: 801-972-1898 ext. 14

Mike@teamsterslocal222.org

Represents members at Parkway, Logan, Ogden, Vernal, Roosevelt, Price, and Moab

Membership Application Form

Grievance Form

9.5 Grievance Form

Subcontractor Reporting Form

Opportunity Request Form

9.5 Add/Cut Form

Emergency Leave Employee Request Form

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.

Part Time Employees

Teamsters Western Region & Local 177 Health Care Plan

1-855-215-2039

Teamsters Western Region & Local 177 Health Care Plan Website

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 – Directions HERE

Teamsters Western Region & Local 177 Change of Address Form

Full Time Employees

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 – Directions HERE

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.