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

STUDENT STATUS VERIFICATION FORM

DENTAL CLAIM FORM (1).pdf

STUDENT STATUS VERIFICATION FORM .pdf

BENEFITS BOOKLET

DIRECT DEPOSIT

V19DentalPlanInfo.pdf

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

WELLNESS FORM

LEGAL FUND

V19WELLNESS-BENEFIT-CLAIM-FORM-2023.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