Disability Benefit AgreementDisability Benefit Agreement • March 19th, 2020
Contract Type FiledMarch 19th, 2020In order to be eligible for the COVID-19 disability benefit under the UFCW Local 655 Welfare Fund, you must sign this form and return to the Fund Office. By doing so you are acknowledging that you received, reviewed and understand the guidelines outlined below prior to benefits being paid.