Union Printable Forms

  • Change of Address Form - It's important you keep your contact information updated with us.
  • Member's Recprd of Contract Violations - Print out and mail (do not fax or e-mail) completed form to: 845 Oak Park Road., Covina, CA 91724 (626) 859-4005
    or 379 W. Valley Blvd. Rialto, CA 92376 (909) 877-4760
  • Doctor Designation Form - Print out and mail or fax to: 845 Oak Park Road., Covina, CA 91724 (626) 859-4084 Fax or 379 W. Valley Blvd. Rialto, CA 92376 (909) 877-2452 Fax
  • Withdrawal Card Form - Withdrawal Cards. If you leave your job, are laid-off, or if you are going to be off work due to a disability for an extended period of time, contact the Union office immediately to obtain an Honorable Withdrawal Card. You must do this within 90 days of leaving your employment. A member who is off work and has an Honorable Withdrawal Card is not required to pay dues during this period. Should you terminate your employment and at some future time reinstate back into Local 63 or any other Teamsters Local Union, simply redeposit your Withdrawal Card and you will not have to pay any Reinitiation Fee.
  • Union Authorization Card Form - In English: Print out and mail or fax to: 845 Oak Park Road., Covina, CA 91724 (626) 859-4084 Fax or 379 W. Valley Blvd. Rialto, CA 92376 (909) 877-2452 Fax
  • Discipline Grievance Checklist


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