Forms

Health and Welfare Forms

Health and Welfare
Title Download Info
2013 Claim Form Download Form 2013 Claim Form for Health Care Benefits
2014 Claim Form Download Form 2014 Claim Form for Health Care Benefits
2015 Claim Form Download Form 2015 Claim Form for Health Care Benefits
2016 Claim Form Download Form 2016 Claim Form for Health Care Benefits
2017 Claim Form Download Form 2017 Claim Form for Health Care Benefits
Accident Claim Form Download Form All questions must be answered. Unanswered questions may delay benefit consideration!
Adult Child (Age 19-26) Enrollment Form Download Form This form must be completed in full for each adult child and submitted to the Fund Office within 30 days.
Change of Address Download Form Please notify the fund office immediately for change of address.
Construction Contribution Form Download Form Construction Contribution Form
Enrollment Card Download Form WE REQUIRE A MARRIAGE CERTIFICATE IF YOU HAVE A DEPENDENT SPOUSE & BIRTH CERTIFICATE FOR DEPENDENT CHILDREN
Medical Record Release Download Form Authorization for Release of Medical Information
Non-Contstruction (Industrial) Contribution Form Download Form Non-Contstruction (Industrial) Contribution Form

Annuity Forms

Annuity
Title Download Info
Application for Benefits Download Form Application for Benefits for Annuity Fund
Beneficiary Card Download Form Annuity Beneficiary Card, Download and Print
Change of Address Download Form Please notify the fund office immediately for change of address.
Hardship Withdrawal Download Form Application for Hardship Withdrawal benefits.

Vacation

Vacation
Title Download Info
Enrollment/Beneficiary Change Card Download Form Enrollment/Beneficiary Change Card for the Vacation Fund

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