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Forms

Construction Trades Branch - Forms

*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 a Hardship after a Catastrophic Event

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

Application for Health Reimbursement Account

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

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

Forms

Construction Trades Branch - Forms

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