Umwa Address PDF Details

Umwa, the United Mine Workers of America, is a labor union that was founded in 1890. The Umwa address form is an important document for members of the Umwa, as it allows them to update their contact information and stay up-to-date with the latest news and events. The form is available on the Umwa website, and members are urged to fill out and submit the form as soon as possible. The form can be filled out online or downloaded and printed out.

The table features details about the umwa address. You can look at it prior to completing the gaps.

QuestionAnswer
Form NameUmwa Address
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesumwa change pdf, umwa address, umwa request, umwa health request online

Form Preview Example

UMWA HEALTH AND RETIREMENT FUNDS CALL CENTER

2121 K Street, Suite 350 Washington, DC 20037 Telephone: (800) 291-1425

Change of Address Request

Effective October 1, 2003, all address changes must be requested in writing and signed by the miner/widow or the legal representative. Please complete this form and return it to:

UMWA Health and Retirement Funds

Attn: Call Center

2121 K Street, NW Suite 350

Washington, DC 20037

Please print clearly and provide all information requested.

Mineworker/Widow Name: _______________________________________________________

(Last, First, Middle)

Social Security Number: _________-_______-___________

Telephone Number: (________)__________-____________

List All dependents currently living with you:_________________________________________

______________________________________________________________________________

Current Address:

Street Address: _________________________________________________________________

City or Town, State and Zip Code: _________________________________________________

Old Address:

Street Address: _________________________________________________________________

City or Town, State and Zip Code: _________________________________________________

Signature: __________________________________________________Date: ______________

If signing for a beneficiary, you must include legal proof of your power of attorney or guardianship status or relationship.

If witnessing a beneficiary's mark, write out both the full name of the beneficiary for whom you are witnessing and your full name.

If the beneficiary is unable to make a mark, and has not granted you power of attorney or guardianship, please describe the circumstances on the back and provide your telephone number.

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