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Benefits Office Forms

Click here for a Summary of Dental and Vision Benefits
[1/13/2009]
All information pertaining to dental and vision coverage. Deductibles, covered services, etc.

Click Here to Download the Benefits Enrollment Card
[8/6/2008]
The card must be completed by all new members in order to enroll in our Insurance, Pension, etc. Existing members must fill out the card to add or remove a dependent, change beneficiary due to marriage or divorce, to add a new baby, etc. Form must be completed in full EACH time and signed and dated.

Click Here to download the Health Insurance Claim Form
[7/31/2008]
Click on the headline above to download the .pdf file.

Click Here to download the Health and Welfare Fund Dental Claim Form
[7/31/2008]
Click on the headline above to download the .pdf file.

Click Here to download the Health and Welfare Fund Vision Care Form
[7/31/2008]
Click on the headline above to download the .pdf file.