FORMS

Forms may be sent ATTN: Dues Desk via
email to titan@teamsterslocal70.org

or

fax to (510) 569-1906

• Application And Notice For Membership
• Check off Authorization and Assignment
• Grievance Form
• Request For Withdrawal
• Request For Leave Of Absence
• Teamsters Life With Dues Beneficiary Form
• Notice of Predesignation of Personal Physician

• D.R.I.V.E - Teamsters Political Action
• D.R.I.V.E - Withdrawal Form

NOTE: Certificate of Illness and Sick Benefit Report must be submitted together. Both are required.

• Certificate of Illness
• Sick Benefit Report

Request An
Absentee Ballot