
Bereavement / Parental Leave Submit to: LiUNA Local 183 Trust Administration 1263 Wilson Avenue, Suite 205 Toronto, ON M3M 3G2 Tel: (416) 240 7487 Toll Free: 1 888 790 3534A. Member Information (Please.
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How to fill out the Local 183 Trust Administration online
Completing the Local 183 Trust Administration form is an essential step for users seeking bereavement or parental leave benefits. This guide will provide clear and detailed instructions to help you fill out the form accurately and efficiently.
Follow the steps to complete your application seamlessly.
- Click 'Get Form' button to obtain the document and open it in your editor.
- Begin by entering your member information in Section A. Provide your last name, first name, gender, address, city, province, postal code, union ID or Social Insurance Number, email address, marital status, date of birth, country, telephone number, and cell number. Ensure that the information is accurate and clearly printed.
- In Section A, indicate the dates you were unable to attend work by listing the specific days and the company name you were working for. Also, specify the lost wages you incurred during this time.
- Move to Section B to report bereavement details if applicable. Enter the name of the individual whose funeral you attended and their relationship to you. Note that the benefit provides $150 per day for a maximum of three consecutive days.
- If you are applying for parental leave, complete Section C. State the name of your child, their gender, and the date of birth. Confirm your application status by ticking 'Yes' or 'No' for the completed application card, and list the dates of your absence related to the birth.
- In Section D, complete the member disclosure authorization by attaching required documents. These include a photocopy of the birth or death certificate or temporary health card, as well as a letter from your employer or payroll department confirming your last day of work and the days you were absent.
- Finally, sign and date the form to authenticate your application. Once completed, you may save changes, download, print, and submit your application by fax or email as specified.
Complete your Local 183 Trust Administration form online today and ensure you receive the benefits you deserve.
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What insurance company is Local 183 with?
Union Power offers competitive rates for Home & Auto Insurance for LIUNA Local 183 members. Call direct at 1-844-872-8722 or e-mail info@unionpower.ca to receive a free, no obligation quote and learn how to expertly insurance your home and vehicle.
How much are local 183 monthly dues?
Self Pay Provisions With New Online Payment Option Monthly payments in the amount of $95.00 plus 8% Retail Sales Tax for a total of $102.60 per month.
How do I submit a claim to Local 183?
Just give us a call at (416) 240-2104, toll-free 1-866-315-6011, or email us at memberhealthservices@liunacare183.ca. You can also submit claim forms or documentation by email.
How many hours do you need for benefits Local 183?
You will become eligible for benefits provided by the Plan as follows: On the 1st day of the 2nd month following the date you have accumulated two months of the monthly requirement (260 hours) made by your employer on your behalf as outlined by the Board of Trustees.
What does Local 183 benefit cover?
Member – Weekly Benefit Maximum of $500 payable from 1st day accident or hospitalization (minimum of 18 hours) or 8th day illness, disease or sickness (15 weeks Employment Insurance Sickness integrated) up to a maximum of 104 weeks.
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