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GROUP ENROLLMENT FORM PLEASE PRINT CLEARLY IN BLUE OR BLACK INK Group Number Group Name Luna Local #1724 Effective Date / / ? I apply for the following coverage for myself and dependents, as listed.
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Start by reading the instructions on the form carefully to understand the requirements and information needed.
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Begin by providing your personal information, such as your name, address, contact details, and any other necessary details.
03
Fill in the required fields related to your employment information, including your job title, employer's name, date of hiring, and any relevant details about your job.
04
If applicable, provide any specific union-related information such as your union local number, membership status, or any other relevant details.
05
Make sure to provide accurate and up-to-date information in each field. Check for any errors or mistakes before submitting the form.
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If there are any additional sections or fields in the form, fill them out according to the instructions provided.
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Finally, review the completed form once again to ensure all the necessary information has been provided and that it is legible.
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Sign and date the form as required and follow any additional submission instructions mentioned on the form or provided separately.

Who needs liuna form:

01
Employees who are members of the Laborers' International Union of North America (LIUNA) may need to fill out the liuna form.
02
Contractors or employers who work with LIUNA members may require them to fill out the liuna form for various administrative or contractual purposes.
03
Individuals who want to join LIUNA and become members may also need to fill out the liuna form as part of the membership application process.
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LIUNA form is a form used by the Laborers' International Union of North America (LIUNA) for reporting labor union information.
Employers who have a collective bargaining agreement with LIUNA or employ LIUNA members are required to file LIUNA form.
You can fill out LIUNA form by providing required labor union information, employee information, and other relevant details as outlined in the form.
The purpose of LIUNA form is to report labor union information and ensure compliance with labor union regulations.
The information reported on LIUNA form typically includes details about the labor union, its members, and any relevant agreements.
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