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Request for Union Verification Letter
(also known as a Vaccine Attestation Letter)
PLEASE NOTE: Only LA County has explicitly listed a letter from your union as an acceptable form of verification of employment for vaccination purposes. All counties will accept a paystub from your employer.
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* Indicates required question
Are you a current UFCW 770 member?
*
We are ONLY able to provide current members with a Union Verification/Vaccine Attestation Letter.
Yes
No
Member First Name
*
Your answer
Member Last Name
*
Your answer
Employer
*
Choose
Ralphs
Vons
Albertsons
Pavilions
Food 4 Less
Stater Bros
Gelsons
Super A
El Super
Kaiser
MedMen
LA Cannabis Co
Green Cross
Farmer John
Overhill Farms
Rogers Poultry
Palisades Ranch
Bakers
DarPro
Pontrelli
Other (enter employer name under Workplace)
Workplace (Store Number)
*
Your answer
Union Rep
*
Your answer
Email Address
*
Your answer
Cell Phone
*
Your answer
How do you want to receive your letter?
*
If you're a current UFCW 770 member, you will receive a personalized letter within 2 business days.
Email
Text message
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