New Member Request

IMPORTANT NOTICE: THIS FORM MUST BE COMPLETED BY A UNION OFFICIAL

Forms completed by new members will not be accepted. If you are a new member and would like to enroll please contact your union Secretary/Treasurer or Local Chairman and have them complete the New Member Request form below.

OPEN ENROLLMENT PERIOD

Please contact our office at 847-387-3555 or info@uniondisability.com for information regarding the next new member open enrollment.