Get Ilwu-pma Welfare Plan 1188 Franklin St - Webmasterscom

Filling out the ILWU-PMA Welfare Plan form online is an important step in ensuring that your dependent children are certified for benefits. This guide will provide clear and detailed instructions to assist you in completing the form effectively.

Follow the steps to complete the form accurately and efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your name and Local/Reg Number at the top of the form. This identifies you as the employee filling out the form.
3. In the first section of the form, list the child’s name and birthdate. Ensure that the spelling of the name is accurate and the birthdate is correctly formatted.
4. Indicate the child's relationship to you, selecting from the options provided. Ensure that this relationship qualifies under the guidelines set forth by the welfare plan.
5. Next, answer whether the child lives with you. If the answer is 'NO', provide the location where the child resides and with whom.
6. Respond to the question regarding financial support. Indicate if you provide more than half of the child’s support, which includes necessities such as food, housing, and medical care.
7. Address the question of whether the child's natural parent provides support. Answer accordingly.
8. Confirm that you have a parent/child relationship with the child by selecting 'YES' or 'NO'.
9. Indicate if you have the authority to act as the parent of this child and provide explanations if necessary.
10. For children aged 19-26, answer if the child has employment-based group health coverage available. Select 'YES' or 'NO' accordingly.
11. Finally, sign and date the certification statement, ensuring that you affirm the accuracy of all provided information.
12. Locate a notary public to notarize the completed form, as notarization is required. Complete the notary section with the relevant details.
13. After completing the form, you can save changes, download, print, or share the document as necessary.

Take the next step to ensure your dependents are covered by completing and submitting the form online today.