United Food & Commercial Workers

Unions and Employers

Midwest Health and Pension Funds

UFCW Calumet Region Insurance Fund

Forms & Publications

Downloadable Forms

Several forms are available in PDF format for downloading and printing. Click the Health or Pension links below to see a list of available forms.

Request Forms to be Sent by Mail

If you do not see the form you need in Downloadable Forms, or if you would like to request that we send forms to you through the U.S. Postal Service, contact the Fund Office.

You will need Adobe Acrobat® Reader to view forms online.
 

(Updated 10/02/17)