Get Norcalaborers

Navigating the Norcalaborers online application can be straightforward with the right guidance. This document will provide you with a clear, step-by-step approach to completing the form accurately and efficiently.

Follow the steps to successfully complete the Norcalaborers application

1. Press the ‘Get Form’ button to access the application form and open it in the designated editor.
2. Carefully fill in the employee information section. Start by entering your social security number, followed by your first, middle, and last names. Ensure that you use black ink if you are filling it out by hand.
3. Provide your residence address, including city, state, and zip code. Make sure to avoid using a Post Office Box.
4. Enter your telephone number along with your date of birth, formatted as month, day, year.
5. Indicate your gender by selecting either ‘male’ or ‘female’. Then, specify your marital status by selecting ‘single’ or ‘married’.
6. In the benefit health plan options section, select the appropriate health plan for yourself and your dependents. You can choose between the Laborers Direct Payment Plan or Kaiser Permanente. If you are a current or former Kaiser member, provide your medical record number.
7. Fill in the dependent information section by listing all eligible dependents. Include their first name, middle initial (and last name if it differs from yours), date of birth, social security number, and relationship to you (e.g., spouse, son, daughter, student). Use the reverse side if you need additional space.
8. Review the application to ensure all information is accurate and complete. You will need to certify the truthfulness of this information under penalty of perjury.
9. Sign and date the application where indicated. Note that your application cannot be accepted without your signature.
10. Upon completing the form, you can choose to save changes, download the document, print it for your records, or share it as necessary.

Begin filling out your Norcalaborers application online today!