Sheet Metal Workers' International Association
Local Union No.73
Pension Welfare and Annuity Funds

 











 

 

Change of Address Form
Benefits Enrollment Form
Universal Beneficiary Designation Form



Form Name
PDF Downloads
HTML Downloads
Major Medical Claim Form
Optical Claim Form
Delta Dental Form

Request For Deferment Of Insurance - Instructions and Form

Claim For Hearing Aid Benefits

Coordination of Benefits
Election and Deduction Form for Retiree Insurance

Table for Retirees Premium Rates

Weekly Accident and Sickness- Initial Form
Weekly Accident and Sickness - Supplementary Statement


Form Name
PDF Downloads
HTML Downloads
Husband-and-Wife Pension Rejection Form

Pension Application

Request For Deferment Of Insurance - Instructions and Form

Election and Deduction Form for Retiree Coverage

Table for Retirees Premium Rates

Retirement Declaration Form

Special Tax Notice Regarding Plan Payments with Rollover Election Form
Direct Deposit Request

Withholding Certificate for Pension or Annuity Payments
(Form W-4P)

Waiver Of 30 Day Notice Period Form

Annuity Application
Plan Rules Relating to Loans to Participants
Annuity Application - Affidavit in lieu of Spousal Consent Form



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