Withdrawal Card Request Form


Need a withdrawal card? Simple! Just fill out the form below or send an email to wcards@ufcw1500.org with your name, last date you worked, and a message stating you are requesting a withdrawal card, and we'll let you know when we send it out to you!


Your UFCW Member ID# (OK if you don't have it handy)
The company you work for
Please type the month, date and year
Please state you are requesting a withdrawal card from UFCW Local 1500
Please check the box to authorize your request of a Withdrawal Card