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UEBT RETIREE RETIREE BENEFIT LEVEL ENROLLMENT FORM 5 Mail: P.O. Box 4100 Concord, CA 945244100 Telephone: (800) 5522400 Facsimile: (925) 7467549 www.ufcwtrust.com INSTRUCTIONS PLEASE READ AND COMPLETE.

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The UFCW and Employer Benefit Trust (UEBT), also known as the UFCW Trust manages medical and pension benefits for UFCW members working in Northern California for employers like Food Maxx, Lucky, Save Mart, Safeway, Vons, Raley's, Bel Air and numerous others.

Email your story or ideas to MemberProfile@ufcwtrust.com.

Across the country, UFCW represents hard-working Canadians in almost every aspect of the private sector, including the grocery, food processing, hotel and hospitality, food service, restaurant, and health care industries.

The benefits of joining UFCW, the grocery union in Canada, include better wages and health benefits, fair scheduling and paid leave, and retirement security provided by our union-negotiated pension plans.

The filing deadlines are: Disability Extensions: Must be filed within 60 days from the date you receive your COBRA/Loss of Eligibility notification for Disability Extension; Sick-Leave: Must be filed one year from the first day of your disability.

The United Food and Commercial Workers International Union (UFCW) is a labor union made up of 1.3 million hard-working men and women in the U.S. and Canada.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232