Forms

Quick and easy access to download and complete important member forms.

• Membership Application
• Replacement Waiver- 2-year contract
• Replacement Waiver- 3-year contract
• Replacement Waiver- 5-year contract
• Full-Time Waiver- 2-year contract
• Full-Time Waiver- 3-year contract
• Full-Time Waiver- 5-year contract
• Part-Time Holiday Waiver
• Summer Waiver
• Extra Employee Waiver
• Withdrawal Card

Change of Address

To request a change of address please send an email to BOTH general@ufcw653.org and mrmc@wilson-mcshane.com. Please include your full name and member ID indicating you would like a change of address.

Withdrawal Card Information

To qualify for a withdrawal card, you must be a fully initiated member and be current in your monthly dues. By requesting a withdrawal card, you will avoid repaying in the initiation fee when you re-enter the industry. This request must be received within 45 days of your last day of active employment. You must request a withdrawal card every time you leave the industry.

To receive a withdrawal card, fill out the form, print and send in to:

UFCW Local 663
Attn: Membership Accounting
6160 Summit Dr N, Suite 600
Brooklyn Center, MN 55430

Or you can e-mail your request.

If you should have any questions, please feel free to contact Suzi at the union office at 763.525.1500 or 1.800.292.4105.