Get Annual Claim Form - Laborers Pension And Welfare Funds

The Annual Claim Form for Laborers Pension and Welfare Funds is an essential document for participants to claim their benefits. This guide will provide you with clear, step-by-step instructions to effectively fill out the form online, ensuring you do not miss any crucial information.

Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to access the Annual Claim Form and open it in your chosen document management platform.
2. Begin by providing your participant information. Indicate whether you are active or retired, and fill in your name, social security number, address, city, state, zip, phone number, date of birth, and local union number.
3. Next, enter your employer's information. This includes the employer's name and phone number.
4. Indicate your marital status by checking the appropriate box: married, single, separated, divorced, or widow/widower.
5. Provide your spouse’s information if applicable. Fill in their name, social security number, date of birth, and indicate if they are employed, along with the employer's contact details.
6. Answer the question regarding other insurance information. Indicate if you, your spouse, or dependent children are insured under any other plans by checking 'yes' or 'no'. If applicable, provide the insurance company details.
7. Fill out dependent children's information for each child, including their name, date of birth, and social security number. Ensure accuracy in this section as it is crucial for benefit eligibility.
8. Review all the filled sections for completeness and accuracy. Make sure all relevant details are provided without any omissions.
9. Finally, sign and date the form along with your spouse's signature if applicable. You may then save changes, download, print, or share the completed form as needed.

Complete your Annual Claim Form online to ensure timely processing of your claims.