Forms and Documents
Retirement Forms
Teamsters Local 623 participates in the Teamsters Health and Welfare and Pension Trust Funds of Philadelphia and Vicinity for full-time employees and the UPS Pension Plan for part-time employees. Please find benefit request forms below. If you have question don't hesitate to call the numbers below.
Part-Time Pension Benefit Request Form
UPS Pension Plan 1-404-828-6044
Full-Time Pension Information Request Form
Full-Time Pension Application for Early or Normal Retirement Benefits
Teamsters Health and Welfare Fund 1-800-523-2846
Withdrawal Card
Be sure to fill out this form when being laid-off, going on leave of absence, lengthy medical leave, worker's compensation or terminating your employment.
Withdrawal Card Request Form
DRIVE
Teamsters Democrat, Republican, Independent, Voter Education (DRIVE) is the Teamsters' political action committee. Big Business spends big money in Washington to influence members of Congress and push their anti-worker plans. They outspend working people in politics by more than 15-1. Your contribution supports working-class political action by Teamster members to stand up to Big Business interests. And your membership to DRIVE will help elect candidates that fight for working people and Teamsters themselves.
DRIVE Termination Request Form
Disability Forms
Use these forms to notify TeamCare of a short-term disability, a continuation of disability and/or an extension of health coverage due to a non-work-related injury or illness or inability to work due to pregnancy. If you need help filing for disability please see this step-by-step guide to filing. If you still need help please call the Union hall for assistance.
Coronavirus Short-Term Disability Form
Short-Term Disability Initial Report of Disability
Short-Term Disability Continuation
Application for Extension of Coverage