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CHANGE FORMS

Change of Address Form for IUCSAT Members


If you have any questions about how to fill out this form, please contact Tiffany Ellefson at 317/475-8890 or DISA at 317/269-3009 (select option 1 twice).

Please provide your cell number.

Please provide new address - street (or PO#), city, state and zip code.

List your union trade (ex. laborer). Enter NCB if non-collective bargaining employee.

Enter local number or NCB if non-collective bargaining employee.

© 2016 by m2PS

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