Member/Retiree Form Requests

Please use the links below to request forms. You will be asked to provide your membership number and Social Security Number for verification purposes.

Optical Form

Magnacare ID Card

MagnaCare Directory: To request a directory please contact Magnacare at 800-235-7267.


Prescription ID

Beneficiary change form (download)

Dental Directory

Pension Application

Pension Inquiry

Retirement SPD

Union Cards

Click here for Supplemental Retiree Health Coverage form

Click here to to join the Local 338 retirees PAC

Click here for to apply for Direct Deposit of Your Pension

Click here for the Federal Tax Withholding Forms

LOCAL 338 RWDSU/UFCW  •  1505 Kellum Place  •  Mineola, New York 11501
Main Office (516) 294-1338  •  Union Call Center (516) 294-1338 ext. 1775  •  Medical Call Center (516) 294-1338 ext. 1776
This site is designed to be best viewed using Internet Explorer 7 or newer.