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  • 2641 South 3270 West
    Salt Lake City, UT 84119
  • Phone
    (801) 972-1898
  • Contact Us
    Send Us a Message

Forms

Membership Application Form

Membership Application

Update Personal Information with Local 222

Honorary Withdrawal Form

Grievance Forms

Grievance Form – For members working at ABF, American Airlines, DHL, MV Transportation, NCS-EML, Rail Terminal Services, or YRC

Grievance Form for Members Represented by Marty Cowin – For members working at Albertons, ALSCO, Bimbo Bakeries, Dean Dairy’s, Gold Cross Ambulance, Integrated Facility Services, Magna Water, MTC, Ryder, or Univar

Grievance Form for Members Represented by Grant Edwards – For members working at Forterra, Geneva Rock, Granite Construction, Hertz, Praxair, or W.W. Clyde

UPS Grievance Form

UPS 9.5 Grievance Form

Insurance Forms

Utah Idaho Teamsters/Southwest Service Administrators Enrollment Form

Teamsters Western Region & Local 177 Health Care Plan Enrollment Form

WTWT Disability Form – For members who are employed at ABF, DHL, UPS Cartage, or YRC

UPS Part Time Short Term Disability Form – Directions HERE

UPS Full Time Short Term Disability Form – Directions HERE

Pension Forms

WCTP Pension Beneficiary Designation (English)

WCTP Pension Beneficiary Designation (Spanish)

Retired WCTP Pension Beneficiary Designation (English)

Retired WCTP Pension Beneficiary Designation (Spanish)

Teamsters Life With Dues Beneficiary Form

Life with Dues Beneficiary Form

Hiring Hall Forms

Construction Registration Form

Movies Registration Form