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