Justice for Janitors Medical Claim Form free printable template

Medical Claim Form SEU LOCALS 1 & 2 Benefit Trust Fund Policy # 32T50 Justice for Janitors Agent/ Administrator: Global Benefits Telephone: 416-635-6000 Fax: 416-635-6464 seiubenefittrust globalben.com

How to fill out claim form seiu

How to fill out Justice for Janitors Medical Claim Form

1. Obtain the Justice for Janitors Medical Claim Form from your union or the official website.
2. Fill in your personal details, including your name, address, and contact information.
3. Provide your employer's details, including the company name and address.
4. Complete the section regarding the nature of your medical claim, detailing the injuries or illnesses incurred.
5. Attach all relevant medical documentation, including bills, diagnoses, and treatment records.
6. Sign and date the form, confirming that all information provided is accurate.
7. Submit the completed form and documentation to the appropriate claims department or union representative.

Who needs Justice for Janitors Medical Claim Form?

1. Janitors and custodial workers who are members of the Justice for Janitors campaign seeking to claim medical benefits for work-related injuries or health issues.

Video instructions and help with filling out and completing claim form seiu

Instructions and Help about claim form seiu

This is Steve's Elsa with work week radio and recently San 1021 which represents 50,000 over 50,000 workers in Northern California had an election for new leadership and there were concerns among some SEU members about the process of the election and whether democratic structures were followed and one of the individuals who was involved in the election and running for office is Brenda barrels she is the chapter president of SIX General Hospital 1021 General Hospital chapter and also San Francisco coke Co chair, and she's with us and we'll be talking about her concerns and issues so welcome to work week radio Brenda hi thank you um what I like to talk about is a fundamental unfairness it is to our members, so it's not about, although I ran for office another other ran for office some people from our slave one some people lost but that's beyond that there was a fiasco with computers we were there 30 over 30 hours to count out of 54 thousand members only 3400 they had thousands probably a vote that never got counted at all they found the excuses not to accept them so our my feeling is that there was no education of the membership that the election was coming it was like a little secret nobody hardly knew about it unless you knew somebody who was running who came up to you the campaign most members didn't even know what's happening and a lot of members I'm still running into members as of even yesterday which is after we had the election that people still oh they didn't know it that we were having an election and these are dues paying members dues paying members you know didn't get their ballots in the mail, so it's just too much stuff so you know my feeling is throw it all out let's start again do it the right way notify people in advance make sure all the members know that the election is happening make sure that there are mechanisms which are easier for people to campaign your pee alright because some people got lists where they call people some people didn't to remind their members to vote, so it was just too many things that unless you were in the know or unless you were connected there are a lot of things that you could have done, but you didn't know you could do them because when you're running or initially for office, and you haven't done that before things get slipped but the main thing for me is every member both didn't get County San 1021 is as I said is a covers all of Northern California the valley central valley and Sacramento and one of the issues that you say that you're concerned about is the vote totals and San Francisco in Solano County why don't you talk about that because there are 17,000 members of San 1021 in San Francisco it's the largest group of San 1021 members and what happened as far as the vote in San Francisco versus Solano County um the general feeling is from because I was there for the vote count and I watched the ones that were being rejected the majority of the ones that were being rejected our votes that probably...

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What is Justice for Janitors Medical Claim Form?

The Justice for Janitors Medical Claim Form is a document used by workers within the Justice for Janitors program to file claims for medical benefits related to work-related injuries or illnesses.

Who is required to file Justice for Janitors Medical Claim Form?

Workers who are part of the Justice for Janitors program and have sustained a work-related injury or illness are required to file the Justice for Janitors Medical Claim Form to receive necessary medical benefits.

How to fill out Justice for Janitors Medical Claim Form?

To fill out the Justice for Janitors Medical Claim Form, you need to provide personal details, information about the injury or illness, relevant medical treatment details, and any supporting documentation such as medical bills or records.

What is the purpose of Justice for Janitors Medical Claim Form?

The purpose of the Justice for Janitors Medical Claim Form is to facilitate the process of obtaining medical benefits for janitors and related workers who experience work-related health issues, ensuring they receive the necessary care and support.

What information must be reported on Justice for Janitors Medical Claim Form?

The information that must be reported on the Justice for Janitors Medical Claim Form includes the claimant's personal information, details about the incident causing the injury or illness, medical treatment provided, and any associated costs or documentation.