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Mail: P. O. Box 4102 Concord, CA 945244102 Telephone: (925) 7467530 (800) 5522400 Facsimile: (925) 7467552 www.ufcwtrust.com CHANGE OF CONTACT INFORMATION FORM Please Print Date of new Address: My
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How to fill out ufcwtrust:

01
Start by obtaining the necessary forms. These can usually be found on the website of the ufcwtrust or by contacting the trust directly.
02
Carefully read through all the instructions included with the forms. This will ensure that you fill them out accurately and provide all the required information.
03
Begin by entering your personal information, such as your full name, address, contact number, and social security number, in the appropriate sections of the form.
04
If applicable, indicate any dependents you have and provide their relevant details.
05
Proceed to fill out the sections related to your employment. This may include details such as your job title, employer information, and work schedule.
06
If you are required to make any contributions to the ufcwtrust, indicate the amount and method of payment in the designated area.
07
Make sure to sign and date the form once you have completed all the necessary sections. Unsigned forms may not be processed.
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Double-check your completed form for any errors or missing information. It is often recommended to have someone else review your form as well to ensure accuracy.
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Submit the form and any supporting documents required, either electronically or through mail, as instructed by the ufcwtrust.

Who needs ufcwtrust:

01
Employees or members of organizations that have a union contract that includes healthcare benefits administered by the ufcwtrust may need to utilize this trust.
02
Individuals who work in industries such as retail, grocery, healthcare, or other sectors with ufcw-represented employees may also be eligible for the benefits provided by the ufcwtrust.
03
Dependents of eligible employees or members may also need the ufcwtrust for accessing healthcare benefits.
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UFCWTrust is a multi-employer trust fund that provides health and welfare benefits to members of the United Food and Commercial Workers Union.
Employers who have entered into a collective bargaining agreement with the UFCW and agreed to contribute to the trust fund are required to file ufcwtrust.
Employers must provide detailed information about their employees, including hours worked, wages earned, and contributions made to the trust fund.
The purpose of ufcwtrust is to ensure that union members have access to quality health and welfare benefits through contributions made by their employers.
Employers must report employee names, social security numbers, hours worked, wages earned, and contributions made to the trust fund.
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