Pay Your Dues or Change Your Address / Contact Information

Policies & Forms

• Agreement – 06/2013 to 05/2023

• By-Laws – Updated 12/2013

• Constitution of the United Association – Revised and Amended August 1-5, 2016

• Military Dues Policy

• Sick & Disabled Dues Policy

• Privacy Policy & Privacy Policy Authorization for Information Release Form

• 441 Death Benefit Plan Document & 441 Death Benefit Plan Beneficiary Form

• How To Pay Online Credit Card “Window Dues” Instructions

• Authorization for Representation

• PAC Authorization for Deduction from Wages

• KSR Elective Change Form (401k)

• Health & Welfare Beneficiary

• Health & Welfare Cobra Election

• Health & Welfare Disability Form

• Health & Welfare HIPAA-Release of Personal Information Form

• Health & Welfare Retiree Benefit Program

• Health & Welfare Summary Plan Description (SPD) with Summary Material Modifications (SMM) 1

• Health & Welfare Subscriber Update

• Health & Welfare Vision Claim Form

• KSR Summary Plan Description (SPD) 5-1-2015 (Includes Amendments One&Two)

• KSR Amendment Three

• KSR Amendment Four

• Local 441 Retirement Pension Plan Summary Plan Description (SPD)

Change of Address

Use this form to submit your new address. Please note: in order to change any information, we need to have your card number which is located on the right hand side of your dues card. For security reasons, without this we cannot change any information.