ILWU Local 63 Official site for ILWU Local 63 Photo Galleries ILWU Convention and Longshore Division Caucus 2021 06-15-2021-Local-63-Convention-Delegates-group Image 1 of 2 ILWU Bloody Thursday Picnic – 2021 Go Events 30 Nov Promotions Committee Meeting all events 30-Day Calendar Twitter Feeds Tweets by PortofLA Tweets by PortofLongBeach Tweets by newgdbridge © 2021 ILWU Local 63, all rights reserved. Site union-made by: Prometheus Labor Union Websites

ILWU Local 63 Official site for ILWU Local 63 Forms To view .pdf files, please download Adobe Reader here. (If needed) MEDICAL/WELFARE: Americans with Disabilities Act (ADA) ADA Packet Chiropractic Benefit Chiropractic Benefit Coastwise Indemnity Enrollment Form Coastwise Indemnity Plan Enrollment Form Coastwise Indemnity Plan ILWU-PMA Coastwise Indemnity Plan Summary Description COVID-19 2020-ILWU-PMA-COVID-19-Vacation-Advance-Request-Form-highlighted CLRC-29-20-Questions-and-Answers-Re-Advancing-Vacation-Time-for-Paid-Sick-Leave-highlighted Dental ILWU-PMA Welfare Plan Dental Program Choice Form Description of Diabetic Durable Equipment Benefit & Claim Form Diabetic Durable Equipment Claim Form Hearing Aid Program Hearing Aid Claim Form Medicare Claim Form for Supplemental Hospital, Medical, Surgical Benefits ILWU-PMA Welfare Plan Medicare Claim Form For Supplemental Hospital, Medical, Surgical Benefits Medicare Part B – Enrollment Questionairre Medicare Part B – Enrollment Questionnaire Subsequent Prosthetic Device Benefit Claim Form Subsequent Prosthetic Device Benefit Claim Form Supplemental CSDI Form ILWU-PMA Welfare Plan Supplemental CSDI Disability Claim Form Vision Vision Service Plan Benefit Description Ophthamology Benefit PENSION Normal Retirement Packet Normal Retirement Packet Disability Retirement Packet Disability Retirement Packet MISCELLANEOUS FORMS Beneficiary Designation Form ILWU-PMA Welfare Plan Beneficiary Designation Form Dependent Child Certification Form Dependent Child Certification Form Federal Election Form Federal Election Form State of California Election Form State of California Election Form Same Sex Domestic Partner Certification Form Same Sex Domestic Partner Certification Form Sixty (60)+ Request to be Excused from all Membership Meetings Member Excuse From Meeting Form Tower-Only Age Exemption (Night-Side Only) Tower Only Age Exemption Form – Nightside Only UNION COMPLAINTS Union Complaint Form LOCAL 63 TIME CARD Time Card SAMPLE TIME CARDS (below): 07-31-2017 Two Sample Time Cards PCCCD SECTION 13.2 GRIEVANCES: CLRC 75-20-Section 13.2 Grievance Form-Covid-19 Health Crisis CLRC 75-20 Meeting Minutes-Section 13.2 Procedures-Covid-19 Health Crisis LONGSHORE DIVISION CONVENTION/CAUCUS RESOLUTION TEMPLATE LOCAL 63 Template for ILWU Convention/Longshore Division Caucus: (Below. Please complete, sign, and submit to the Local 63 Business Office): RESOLUTION TEMPLATE BLANK ONLY (Word Version) Go Events 30 Nov Promotions Committee Meeting all events 30-Day Calendar Twitter Feeds Tweets by PortofLA Tweets by PortofLongBeach Tweets by newgdbridge © 2021 ILWU Local 63, all rights reserved. Site union-made by: Prometheus Labor Union Websites