Claim Forms and Application Forms for health and welfare, local and international pensions and 401(k) contributions are provided below. We have also provided a link to New York Life for your convenience.
If you would like a form mailed to you, call the United Association Local Union 364 Office.
- Medical, Dental and Prescription Claim Form
- Health Reimbursement Arrangement (HRA)Claim Form
- Prescription Claim Form
- Change of Address Form for SCPT Trust Fund
- Change of Address Form for National Pension
- Disability Forms
- Vacation and Holiday Monthly Benefit Form
- Vacation and Holiday Interim Withdrawal Form
- Basic Pension (Local) Application
- National Pension Application
- 401 Enrollment Form