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Serving San Joaquin, Amador, Calaveras and Tuolumne Counties

Forms & Downloads

Find all the forms & Downloads you'll need while a member of Teamsters.

Forms:

Physician Designation Form: {Download PDF Form} - You have the legal right to designate your doctor to treat you for an injury that has occured on the job! You must first designate your treating physician by filling out the form and submitting it to the employer prior to any on-the-job-injury. The form must be filled in 3 copies (original to the employer, copy to the union and copy for yourself.)

Change of Address Form: {Click Here To Fill Out Form Online} - This form will only change your address with the Local 439. You will still need to update this change with your Health Admistrator, Western Conference of Teamsters Pension Trust Fund, and your Employer.

Withdrawal Request Form: {Click Here To Fill Out Form Online} - You must not have any pending claims under the Grievance Procedure, and all of your fees must be paid current and up to date.

Grievance Form: {Download PDF Form} - Only file a grievance form when the company is in violation of the contract. Please read and understand your contract and/or consult your shop steward or business represenatitve. You must recognize time limits. All grievances must be filed timely and in accordance with the Collective Barganing Agreement between your employer and Local 439. You must file youre grievance form in the Local Union or hand-carry to your shop steward or union representative.

Transfer Policy and Proceedure:

Any member in good standing is entitled to obtain a transfer card from their Local Union in which he is a member in order to become a member of the Local Union within whose jurisdiction he is employed. Every member must report to the Local Union into which transfer is sought upon obtaining employment and must present to the Local Union proper and satisfactory indentification. *

Once you are employed in our jurisdiction, please contact Local 439 at (209) 948-9592 to transfer your Teamsters Membership. The membership specialist will need your withdrawal card or last Local Union number.

Members who transfer to Local 439 will pay a transfer free (generally a month's dues or any debt owed to the transferring local) in lieu of an initiation fee. Regular dues with Local 439 will begin the following month.

*Excerpt from the International Brotherhood of Teamsters Constitution, Article XVIII