Forms

Here is a collection of requested forms, Please let us know if there are more we can add here.

Thanks,

Al

Insurance:

• Payroll Authorization Form 9-2011 which is required to be completed and sent in with EVERY application for the following products:

Voluntary Term life insurance issued by Lincoln Financial
Voluntary Group Accident insurance issued by Lincoln Financial
Supplemental Health and Prescription Plan insurance issued by Humana
Whole Life insurance issued by Aflac Group Insurance Company
Voluntary Group Critical Illness insurance issued by Aflac Group Insurance Company
Short Term Disability Insurance issued by Standard Insurance Company
Long Term Disability Insurance issued by The Hartford Insurance Company

• Standard STD Enrollment Form

Please make sure you use this form and make sure the date of hire is filled in.

• Withdrawal from TWU-Hartford Long Term Disability Insurance Program
• Union Benefits Planners, Request for Surrender – Standard Disability Plan/TWU
• AA Pre-Retirement Survivor Annuity
• Sick Leave of Absence (SLOA) AA Medical Substantiation Requirement Form Section A & B

Grievance:

• Official Notice of Withdrawn Local Grievance Procedure/System Board of Adjustment

Seniority:

• AA TWU System Seniority List Protest Form

Contact Information:

• Update your Contact information online(you must log in)
  • Having trouble logging in?

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