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Western Teamsters Welfare Trust fax number

(626) 463-6048

Accounting & Eligibility

Used for: Enrollment and change submissions (Participant Data Form), opt-out forms, and beneficiary designations for Western Teamsters Welfare Trust; forms returned to Northwest Administrators via fax

Fax destination details

Department
Accounting & Eligibility
Purpose
Enrollment and change submissions (Participant Data Form), opt-out forms, and beneficiary designations for Western Teamsters Welfare Trust; forms returned to Northwest Administrators via fax
Form
Participant Data Form — Participant Data Form
Address
225 South Lake Ave, Suite 1200, Pasadena, CA 91101-3019
Voice phone
(877) 214-8928

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Fill forms in BLUE or BLACK INK and PRINT clearly. Return to Northwest Administrators, Attn: Accounting & Eligibility, 225 South Lake Ave, Suite 1200, Pasadena, CA 91101-3019. Fax: 626-463-6048.

Official form instructions are published as a downloadable file on the organization's website.

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