Welfare Fund Forms

LEGAL FORM

VISION FORM

V19LEGAL-FUND-REIMBURSEMENT-CLAIM-FORM-JULY-2023-V-1.pdf

V19VISION-CLAIM-FORM-JULY-2023-V-5.pdf

DENTAL FORM

DENTAL CLAIM FORM (1).pdf

BENEFITS BOOKLET

DIRECT DEPOSIT

V19DentalPlanInfo.pdf

Direct Deposit ACH Member Announcement .docx (1).pdf

WELLNESS FORM

LEGAL FUND

WELLNESS BENEFIT CLAIM FORM 7.2024.pdf

V19LEGAL-FUND-REIMBURSEMENT-CLAIM-FORM-JULY-2023-V-1.pdf

LIFE INSURANCE FORM

Scanned from a Xerox Multifunction Printer (1).pdf

UPDATE. We will be updating the froms from our new TSA soon. ASO https://www.asonet.com/Welcome.aspx

Please be patient as we make the transition. Thank you, The Trustees