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Local 79 Forms

Below you will find various forms which you may need from time to time.  Please fill out the form that fits your situation, print, sign and mail the form in to Local 79 at 5818 E. Dr. Martin Luther King, Jr. Blvd., Tampa, FL 33619-1033.

Grievance Form

It is important for Local 79 members to file a grievance if they feel they have been treated unfairly on the job. Here is the form needed to file a grievance. 

Membership Application

The only way to receive Teamster Power is to become a member of Local 79. Joining Local 79 will give you the strong voice you need on the job. Fill out the membership application.

Organizing Fee

Stewards and members are on the front lines every day working hard to represent Local 79. You also work to grow our Local by signing up new members. Here is the Organizing Fee form for stewards and members to fill out when they sign up a new member so that they are rewarded for helping to build power at Local 79.

Referral Hall Application and Rules

If you are interested in applying for casual work, fill out the Application for Referral Hall Casual Work Form. For the Rules and more information, click here.

Service Pin

After you reach a milestone as a Teamster member (such as 10, 20, 25, 30 or 35 years), fill out a form to Request a Teamster Service Pin—Years of Service.

Withdrawal Request

All Withdrawals are subject to approval of the Executive Board. Further, it is the members obligation to notify the local union upon returning to work. Download the withdrawal request form, here.  Withdrawals can only be made by submitting a written letter to the Local Union.  Email submission cannot be accepted.

Member Update Form

Stewards and Alternate Stewards, please download and use the attached Member Update Form to record changes in member information.  Please forward the information to the Local Union as soon as possible.  Thanks for your help in keeping our information up-to-date!

UPS Retirement Benefit Request Form

UPS employees only - this form is to request an estimate of your retirement benefits and/or request an application for your retirement benefits.

Southern States Savings and Retirement Plan Trust Fund Form

Southern States Savings has updated their forms. Please click here to download a current copy.




Page Last Updated: Feb 15, 2018 (06:35:04)

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