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Mail: P. O. Box 4100 Concord, CA 945244100 Telephone: (800) 5522400 Facsimile: (925) 7467549 www.ufcwtrust.comAPPOINTMENT OF PERSONAL REPRESENTATIVE FORM I.(Please Print)I. I.II. Information Regarding

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Individuals who are eligible for UCBT active ultra benefit as per the criteria set by the program

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What is ucbt active ultra benefit?

UCBT Active Ultra Benefit is a specific program offered by UCBT company for their employees which provides various health and wellness incentives.

Who is required to file ucbt active ultra benefit?

All employees eligible for the UCBT Active Ultra Benefit program are required to file the necessary paperwork.

How to fill out ucbt active ultra benefit?

Employees can fill out the UCBT Active Ultra Benefit form online through the company's HR portal or by submitting a physical copy to the HR department.

What is the purpose of ucbt active ultra benefit?

The purpose of UCBT Active Ultra Benefit is to promote employee health and wellness by offering incentives for participating in various activities and programs.

What information must be reported on ucbt active ultra benefit?

Employees must report their participation in health and wellness activities, such as exercise programs, healthy eating initiatives, and preventive health screenings.

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