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ENROLLMENT AND BENEFICIARY FORM Please submit this form to Your Local Union Benefit Office PLEASE PRINT INSTRUCTIONS: This form is to be utilized for enrollment and beneficiary purposes only. All
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How to fill out your local union benefit

How to fill out your local union benefit
01
Obtain the local union benefit form from your union representative or local union office.
02
Read the instructions on the form carefully to ensure you understand the information required.
03
Provide your personal information, including your name, address, phone number, and union membership number.
04
Fill in the details of the specific benefit you are applying for, such as health insurance, retirement plan, or scholarship.
05
Attach any required supporting documents, such as proof of eligibility, medical records, or financial statements.
06
Review the completed form to check for any errors or missing information.
07
Sign and date the form to certify the accuracy of the provided information.
08
Submit the filled-out form to your union representative or local union office as per their instructions.
09
Keep a copy of the filled form for your records.
10
Following submission, monitor the status of your application and communicate with the union representative if necessary.
Who needs your local union benefit?
01
Anyone who is a union member and wants to avail the benefits provided by their local union should consider applying for the local union benefit.
02
Employees who require additional financial assistance, medical coverage, educational support, retirement planning, or other benefits provided by the union can benefit from the local union benefit.
03
Those who meet the eligibility criteria and want to ensure their rights and benefits as union members are protected and maximized should avail themselves of the local union benefit.
04
Individuals who believe they have a valid claim or are in need of the benefits offered by their local union should explore the local union benefit options.
05
It is recommended that all union members, irrespective of their current situation, inquire about the local union benefit to ensure they are aware of the available support and incentives.
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