Important Forms

To access these forms, please call (718)745-3487 or (800) 393-1135 or mail to:

UCFW – Local 2013
9235 4th Avenue
Brooklyn, NY 11209

Union Information

  • Grievance Report
  • Authorization Form

 Health and Welfare Information

  • Direct reimbursement form
  • Sleep Apnea
  • Physical Therapy
  • Origin of Injury Letter

Pension Information

  • Local 2013 Pension Fund:  Pension Application
  • Local 2013 Pension Fund: Pension Verification

Annuity Information

  • Local 2013 Annuity Fund for Terminated Participants who receive distribution Under $200: Annuity Form Terminated participants UNDER $200
  • Local 2013 Annuity Fund for Terminated Participants who receive distribution between $200- $5,000:  Annuity Form terminated participants $200 – $5000
  •  Local 2013 Annuity Fund for Terminated Participants who receive distribution OVER $5,000 (Participants should send a Picture Identification with application): Annuity Form terminated particiipants OVER $5000
    •  All distribution forms must be accompanied by a W4P federal form w-4
  • Local 2013 Annuity Form for claiming a Death Benefit:  ANNUITY FORM DEATH BENEFIT
  • Local 2013 Annuity Fund for Terminated Participants Age 65 Under $5,000: ANNUITY FORM TERMINATED PARTICIPANTS AGE 65 UNDER $5000