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Employment Records Research Request Form

Use this form to request employment verification for pension purposes.

Declination of Welfare Fund Benefits - All Benefits

Use this form to decline all Welfare Fund benefits for yourself and eligible dependents. You must sign this form and have it notarized.

Declination of Welfare Fund Benefits - For Eligible Dependents

Use this form to decline Welfare Fund benefits for your eligible dependents. You must sign this form and have it notarized.

Declination of Welfare Fund Benefits - Dental and/or Vision

Use this form to decline Welfare Fund dental and/or vision benefits for yourself and eligible dependents. You must sign this form and have it notarized.