Forms

Pre-Designation of Personal Physician

Sick Benefit Form

Teamsters Benefit Trust Form

Teamsters Managed Health Care Trust Form

Send completed forms to

Teamsters Local 350

295 89th Street, Suite 304

Daly City, CA 94015

 

Teamsters Benefit Trust

PO Box 5820

Fremont, CA 94537

 

Teamsters Managed Health Care Trust

PO Box 757

Pleasanton, CA 94566