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.

Form NameUmwa Address
Form Length1 pages
Fillable fields0
Avg. time to fill out15 sec
Other namesumwa health request, umwa change of address form, umwa funds request, umwa health request online

Form Preview Example


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.

How to Edit Umwa Address Online for Free

The PDF editor makes it simple to complete the umwa request printable file. You will be able to create the form efficiently through using these basic steps.

Step 1: Choose the button "Get Form Here" and click it.

Step 2: Now, you're on the document editing page. You may add content, edit present data, highlight particular words or phrases, put crosses or checks, insert images, sign the form, erase unwanted fields, etc.

Create all of the following segments to prepare the file:

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Step 3: Choose the Done button to save the document. Now it is ready for upload to your electronic device.

Step 4: Make sure you avoid upcoming problems by creating minimally a pair of duplicates of the form.

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