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IL WU / PMA Benefit Plans 1 SECTION 1188 FRANKLIN STREET. SUITE 101 PHONE: (415) 6738500. FAX: (415) 7491400 SAN FRANCISCO, CA 94109 www.benefitplans.org RECORD CHANGE From This form will be used
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01
Start by printing or writing neatly in the designated field provided on the form. Make sure your handwriting is legible and clear.
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Longshoremen: This information is necessary for individual identification and to maintain records within the longshoreman community. It helps differentiate between different longshoremen based on their last name street.
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What is longshoremans last name street?
Longshoreman's last name street is the legal address where the longshoreman resides.
Who is required to file longshoremans last name street?
Longshoremen are required to file their last name street address.
How to fill out longshoremans last name street?
Longshoremen must provide their last name street address on the designated form.
What is the purpose of longshoremans last name street?
The purpose of providing the longshoreman's last name street is for identification and communication purposes.
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The information reported should include the longshoreman's last name street address.
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