If you are the spouse or an adult dependent of a member, enter the required information below and press Submit. Once your Registration is accepted you will be assigned a password to access your information on file. (You must have a census card on file before access is granted. All fields must be completed.)
l swear under penalty of perjury under the laws of the United States of America that the foregoing is true and correct.”I am the Teamsters Health and Welfare and Pension Funds of Philadelphia and Vicinity Member’s Dependent or legal representative of the Member’s Dependent to whom the following information pertains”