Article Structure
The UMWA Address form is an important document for those associated with the United Mine Workers of America. It is used primarily to update contact details with the UMWA Health and Retirement Funds. Starting from October 1, 2003, any request for an address change requires a written submission. This request must bear the signature of the miner, widow, or a designated legal representative. When filling out the form, it is essential to print clearly and ensure all requested information is included. Key details required on the form include the full name of the mineworker or widow, their Social Security number, and their current and previous addresses. Additionally, individuals must provide contact information, including a telephone number. If someone is submitting on behalf of another, they must supply legal proof of their authority. Notably, provisions are made for situations where a beneficiary is not able to sign. The process is straightforward, but attention to detail is crucial to ensure that the address change is processed without delay.
Umwa Address Example
UMWA HEALTH AND RETIREMENT FUNDS CALL CENTER
2121 K Street, Suite 350 Washington, DC 20037 Telephone: (800)
Change of Address Request
Effective October 1, 2003, all address changes must be requested in writing and signed by the miner/widow or the legal representative. Please complete this form and return it to:
UMWA Health and Retirement Funds
Attn: Call Center
2121 K Street, NW Suite 350
Washington, DC 20037
Please print clearly and provide all information requested.
Mineworker/Widow Name: _______________________________________________________
(Last, First, Middle)
Social Security Number:
Telephone Number:
List All dependents currently living with you:_________________________________________
______________________________________________________________________________
Current Address:
Street Address: _________________________________________________________________
City or Town, State and Zip Code: _________________________________________________
Old Address:
Street Address: _________________________________________________________________
City or Town, State and Zip Code: _________________________________________________
Signature: __________________________________________________Date: ______________
If signing for a beneficiary, you must include legal proof of your power of attorney or guardianship status or relationship.
If witnessing a beneficiary's mark, write out both the full name of the beneficiary for whom you are witnessing and your full name.
If the beneficiary is unable to make a mark, and has not granted you power of attorney or guardianship, please describe the circumstances on the back and provide your telephone number.
Form Characteristics
| Fact Name | Details |
|---|---|
| Effective Date | As of October 1, 2003, any change of address must be requested in writing. |
| Signatory Requirement | The form must be signed by the miner, widow, or their legal representative to be valid. |
| Dependents Information | All dependents currently living with the applicant must be listed on the form. |
| Documenting Authority | If signing on behalf of another, legal proof of authority, such as power of attorney, is required. |
Guidelines on Utilizing Umwa Address
After completing the UMWA Address form, you will need to send it to the specified address to ensure your change of address request is processed. Be sure to double-check that all information is accurate before submission. Follow these steps carefully to fill out the form correctly.
- Print the form clearly. Use a blue or black pen to fill out the information.
- In the "Mineworker/Widow Name" section, write your last name, first name, and middle initial.
- Enter your Social Security Number in the designated format: three digits, two digits, four digits.
- Fill in your telephone number with the area code in parentheses.
- List all dependents currently living with you in the provided section.
- Complete the "Current Address" section, using the street address, city or town, state, and zip code.
- In the "Old Address" section, provide the previous address you wish to update.
- Sign and date the form at the bottom. If you are signing for someone else, ensure you attach the necessary legal proof.
- If applicable, write the full name of the beneficiary you are witnessing and your own full name.
Once you have filled out the form, make a copy for your records. Mail the completed form to the address provided. Ensure you send it via a reliable method, and keep track of your submission until you receive confirmation of the address change.
What You Should Know About This Form
What is the purpose of the UMWA Address form?
The UMWA Address form is used to officially request a change of address for mineworkers or their beneficiaries. Since October 1, 2003, any address change must be submitted in writing. This ensures that all necessary parties are informed of the new address, allowing for the continued receipt of benefits and communication regarding health and retirement funds.
Who can submit the UMWA Address form?
The form can be completed by the miner, widow, or a legal representative. If someone is signing on behalf of a beneficiary, they must provide legal proof of their authority, such as power of attorney or guardianship documents. This requirement safeguards the interests of those who may not be able to act on their own behalf.
What information is required on the form?
The form requires detailed personal information, including the miner or widow's name, Social Security number, telephone number, and both the current and old addresses. Additionally, it asks for the names of all dependents currently living with the individual. Clear and accurate information is essential to process the request effectively.
Where should I send the completed UMWA Address form?
Once completed, the form must be mailed to the UMWA Health and Retirement Funds, specifically addressed to the Call Center. The mailing address is: 2121 K Street, NW Suite 350, Washington, DC 20037. Ensure that the form is signed before sending it to avoid any delays in processing your request.
What if I encounter issues while completing the form?
If you face any difficulties while filling out the form, assistance is available through the UMWA Health and Retirement Funds Call Center. You can reach them at (800) 291-1425. They can provide guidance on how to complete the form properly and address any concerns regarding the change of address process.
Common mistakes
Filling out the UMWA Address Form can seem straightforward, but mistakes can lead to delays or complications in processing your request. One common error is not printing clearly. When filling out forms, clarity is vital. If the information is difficult to read, it may be misinterpreted or overlooked altogether.
Another mistake often made is failing to include all requested information. Omitting details like the social security number or listing dependents may result in the form being returned for corrections. Be sure to carefully review each section before submission to ensure completeness.
Not signing the form correctly can also create problems. The form specifically states that it must be signed by the miner, widow, or legal representative. If signing on behalf of someone else, legal proof must be provided. Neglecting to include this important documentation can delay the processing of your request.
Many users confuse the old address and the current address fields. This can lead to further complications. To ensure accuracy, double-check that each address is correctly labeled. Clear identification helps avoid any confusion regarding where you currently reside versus where you lived previously.
Lastly, failing to include a telephone number is a widespread mistake. This number is critical for any follow-up inquiries or clarifications the office may need. Without it, you may miss essential communications that could expedite the address change.
By avoiding these common mistakes, the process of updating your address with the UMWA will be more efficient and hassle-free. Take the time to fill out the form accurately and completely to help ensure a smooth transition.
Documents used along the form
When submitting the UMWA Address form, there are several other documents that may be necessary to ensure your request is processed smoothly. Below is a list of commonly utilized forms and documents that complement the UMWA Address form.
- Power of Attorney Form: This document grants legal authority to another person to act on your behalf. It is essential for those submitting changes on behalf of a miner or widow.
- Change of Beneficiary Form: Used to update the designated beneficiaries for health, retirement, or life insurance benefits associated with the UMWA.
- Dependency Verification Form: This form may be required to verify the eligibility of dependents listed on the UMWA Address form.
- Social Security Administration Form: If applicable, this form provides information about Social Security benefits, which may be relevant during the address change processing.
- Death Certificate: Required when the form is submitted for a deceased miner or widow, to validate the legal relationship of the applicant.
- Proof of Residence Document: A current utility bill, lease, or other official documents confirming the new address, to help validate the requested address change.
- Affidavit of Identity: This statement may be needed to confirm the identity of a person submitting the form. It is often used when there is a discrepancy or questions about identity.
- Witness Statement: If applicable, a statement from a witness who can confirm the authenticity of the signature or mark made on the UMWA Address form.
Having the correct documents ready can facilitate a smooth transition when updating your address with the UMWA. It is important to carefully follow all requirements and submit all necessary paperwork to avoid delays. Be sure to double-check that everything is complete before sending in your documents.
Similar forms
The UMWA Address form serves a specific purpose in facilitating address changes for miners and their beneficiaries. Similar documents often share common characteristics, such as the need for personal identification, proof of authority, or the collection of beneficiary information. Below are nine documents that share similarities with the UMWA Address form:
- Change of Address Form: A standard document used by various organizations requiring individuals to inform them of a change in their address. Like the UMWA form, it requires personal information and sometimes verification of identity.
- Beneficiary Designation Form: This form allows individuals to designate a beneficiary for benefits. It often resembles the UMWA Address form as it requires personal details and signatures.
- Power of Attorney Form: This document grants legal authority to someone else to act on an individual’s behalf. Similar to the UMWA Address form, it may require determination of legal relationships.
- Health Insurance Enrollment Form: Used by health insurance plans to collect personal information from members. Just like the UMWA form, it requires clear information about the insured and his or her dependents.
- Retirement Benefits Application Form: This form allows individuals to apply for retirement benefits. It shares elements with the UMWA Address form, such as the need for signatures and personal data verification.
- Estate Planning Document: These documents include wills and trust forms that require personal identification. Similar to the UMWA Address form, these documents often seek to clarify beneficiaries and their relationships.
- Medical Release Form: Used to give healthcare providers permission to share health information. The UMWA Address form also requires clear personal information and identity verification.
- Child Custody Agreement: This legal document establishes custody arrangements. It shares similarities with the UMWA Address form in terms of requiring signatures and verification of relationships.
- Direct Deposit Authorization Form: This form authorizes an organization to deposit funds directly into a bank account. It also calls for accurate personal information and signatures, akin to the UMWA Address form.
Each of these documents shares the essential goal of facilitating communication and ensuring that accurate, updated information is recorded for legal or administrative purposes. Understanding these similarities can help individuals navigate their options and fulfill their legal responsibilities more effectively.
Dos and Don'ts
When filling out the UMWA Address form, it’s essential to follow the guidelines carefully to ensure that your request is processed smoothly. Here’s a list of do’s and don’ts to consider:
- Do print clearly and use black or blue ink.
- Do include all requested personal information, such as your name and Social Security Number.
- Do sign the form. An unsigned form may delay the processing of your request.
- Do provide a current and complete address.
- Don’t leave any required fields blank. All information must be filled out.
- Don’t forget to include proof of power of attorney if signing for someone else.
- Don’t use nicknames or abbreviations for names.
- Don’t forget to include a contact number in case of questions or issues.
By adhering to these guidelines, individuals can enhance their chances of a timely and accurate address change request. Taking these steps seriously ensures that communication will continue seamlessly.
Misconceptions
Addressing misconceptions surrounding the UMWA Address form can help individuals navigate the process with more clarity. Here are some common misunderstandings:
- This form can be submitted verbally. Many people believe they can simply call in their address change, but that is not the case. All address changes must be submitted in writing and signed by the miner, widow, or legal representative.
- Any representative can request an address change. Another misconception is that anyone can submit the address change on behalf of the miner or widow. Only the miner, widow, or their legal representative can sign the request.
- Proof of relationship is unnecessary. Some may think that no documentation is needed if a representative is acting on behalf of a beneficiary. However, legal proof of power of attorney or guardianship status must be included if signing for someone else.
- Only certain information is required. While some believe they can omit certain sections, it is essential to fill out all requested information completely and clearly, including names, addresses, and the signatures as needed.
Understanding these points can streamline the process and ensure that address changes are processed correctly and efficiently. Always refer to the guidelines explicitly stated in the form to avoid any complications.
Key takeaways
Filling out the UMWS Address form is a straightforward but essential process. Below are key takeaways to help guide you through it:
- Written Request Required: All address changes must be submitted in writing as of October 1, 2003. Verbal requests will not be accepted.
- Signature Needed: Only the miner, widow, or their legal representative can sign the form, affirming the authenticity of the request.
- Clarity is Crucial: Ensure all information is printed clearly. This helps prevent delays in processing your request.
- Complete All Sections: Make sure every part of the form is filled out completely, including current and old addresses.
- Dependents Information: List all dependents who currently reside with you. This may be important for various benefits.
- Legal Documents Required: If you're signing on behalf of a beneficiary, include legal proof of your authority to do so, like power of attorney or guardianship documentation.
- Witnessing Marks: If you're witnessing a mark from a beneficiary, write out both their full name and your own to validate the process.
- Unknown Circumstances: For beneficiaries who cannot mark the form or haven’t granted power of attorney, describe the situation on the back of the form.
- Mailing Address: Send the completed form to the UMWA Health and Retirement Funds at the address specified at the top of the form.
By keeping these points in mind, you’ll navigate filling out the UMWA Address form with confidence and clarity.
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