Forms

Forms

Change of Address

Membership Application

Replacement Waiver

Full-Time Waiver

Withdrawal Card Information

To qualify for a withdrawal card, you must be a fully initiated member and be current in your monthly dues. By requesting a withdrawal card, you will avoid repaying the initiation fee when you re-enter the industry. This request must be received within 45 days of your last day of active employment. You must request a withdrawal card every time you leave the industry.

To receive a withdrawal card, fill out the form, print and send in to:

UFCW Local 653
Attn: Membership Accounting
6160 Summit Dr N, Suite 600
Brooklyn Center, MN 55430

Or you can e-mail your request.

If you should have any questions, please feel free to contact Suzi at the union office at 763-525-1500 or 1-800-292-4105.
UFCW Local 653 Staff- I wish to thank you for your representation for union support shops at the Crow Wing County Fair. Your message to support “people” was loud and clear. As an individual that has several friends that work in the union groce… - Janet