*Please be advised all forms must be mailed or dropped off to the Fund Office, we cannot accept a fax.
Pension Fund Forms
Pre-Retirement Death Benefit Designation of Beneficiary
Post Retirement Death Benefit Designation of Beneficiary
Security Benefit Fund Forms
Application for Acquisition or Retention of a Residence or Rental Unit
Application for Financial Assistance
Application for Reimbursement of Funeral Expenses
Replacement Wages for Unemployment ONLY
Replacement Wages for Temporary Job Shut-Down, Inpatient Substance Abuse Rehab & Military Service
Replacement Wages for Workers Compensation, Disability or Jury Duty
Application for Scholarship Benefit
Severance Benefit
Term Life Insurance Premium
Child Care Service Benefit
Supplemental/ 401(a)
SRP Qualified Birth or Adoption Distribution Form
SRP Distribution Election Form
SRP Designation of Beneficiary Form
Age 59 1/2 Withdrawal Form
Welfare Fund Forms
Healthcare Reimbursement Form
Express Scripts Mail-Order Pharmacy Form
Health Insurance Enrollment Form MetLife Out of Network Dental Claim Form
Welfare Funds Designation of Beneficiary
Vision and Hearing Aid Benefit
Empire BlueCross BlueShield Out of Network Claim Form
MediBlue Out of Network Vision Claim Form
General Forms and Documents
Application for SST,SWAC and TWIC Reimbursement
Employer online reporting instructions
Notice of Intention to Sub-Contract Work
Foreman Report - Instructions to edit pdf
Bonding Requirements Effective January 2022
Employer Notice of Electronic Disclosure and Consent Form
Check cashing branches
Consent to Electronic Notice and Disclosure Form.pdf
Change of Address Form
EFT Authorization Form
Request for Pension Estimate
Return to Work Statement
Pay by Check Bond Form
IT-2104P
W4-P
W4-2023
IT-2104
