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Eugene A. DeLorme
President, Principle Officer
Paul
A. Markwitz
Vice-President, B.A.
Christopher
P. Toole
Secretary-Treasurer, B.A.
David W. Weilert
Recording Secretary, B.A
Richard T. Militello
Trustee
Timothy L.
Barbeto Trustee
Jeff Sargent
Trustee
Kevin M. McIntosh
Business Agent
John C. Emrich
Business Agent
Michael J.
Maynard Business
Agent |
Online Forms
These forms are for the BTA Credit Union
and grievances and rebuttals.
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Credit Union Application Updated 2009 |
Grievance Form |
Rebuttal Form |
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These forms are for joining Local
118. |
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Membership Application and Dues Check-off
Form |
Standard life- Beneficiary Form Updated
2009 |
NYS Pension Beneficiary Form |
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These forms are for those members
of the NYS Teamsters Health & Hospital Fund. |
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Medical Form |
Dental Form - Front |
Dental Form - Back |
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These forms will need the
Adobe Reader installed on your computer to work.
Please click here to go to
their web site to install this software if you
haven't already.

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Withdrawal Card Request |
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We have made these forms
'interactive'. Once you have the Adobe Reader on
your computer you will be able to access these forms
online. If you move the little 'grabby hand' over a
box that needs to be filled out, the cursor will
change to a blinking "I bar", which means you can
type in the box. When you are done typing the
required information in that box hit your 'tab' key
and you will be sent to the next required field. Any
where a check mark is required, hit your 'space' key
and then hit the 'tab' key to go on to the next
field.
When you have filled out all of the
relevant fields just print your form! Neat and
professional.
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Rochester Main
Office
130 Metro Park Rochester, NY
14623 |
Phone: (585) 256-1350
Fax: (585) 256-1429 |
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President Gene DeLorme, |
ext 214 |
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Vice-President Paul Markwitz |
ext 211 |
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Secretary-Treasurer Chris Toole, |
ext 212 |
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Recording Secretary and Organizer,
Call David Weilert. |
ext 208 |
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Business Agent Kevin McIntosh, |
ext 213 |
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Business Agent John Emrich, |
ext 215 |
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Field Agent, Michael J. Maynard |
ext 205 |
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Bookkeeper Lillian Gucciardo |
ext 203 |
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TITAN Operator, Union
Dues and Teamster Care Program Rachel Maryjanowski |
ext 202 |
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Administrative Asst. call Lillian
Gucciardo |
ext 201 |
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NEW OFFICE HOURS! 8:00 AM TO 4:30 PM
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