TWU Local 567

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In the event of the loss of a loved one, please complete and submit this form so that the Local can make the necessary arrangements for a plant delivery and/or Bible presentation.

Bereavement Form

October 2025

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Transport Workers Union

Union Label & Service Trades Department, AFL-CIO

Union Plus Benefits

AFL-CIO

October 23, 2025

Bereavement Form

DATE:

LOCAL 567 MEMBER:

DECEASED NAME:

RELATION TO MEMBER:

PHONE NUMBER:

RELIGIOUS PREFERANCE:

FUNERAL HOME:

FUNERAL HOME PHONE NUMBER:

DATE AND TIME OF SERVICE:

ADDRESS TO SEND PLANT TO:

INFORMATION TAKEN BY:

CONTACT NUMBER: