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IBEW LU 363 Forms
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Forms
Voter Registration Forms

English Voter Registration Form
Spanish Voter Registration Form


Annuity / SUB / Vacation - Dues Forms

Annuity Benefit Application Form (13 Pages)
Application For Weekly SUB Benefits
Vacation Dues Deduction Authorization


Welfare Forms

Aetna Medical Claim Form
Self-Insured Medical Claim Form
 ( Use For Vision And Member's Physical )
Dental Claim Form


Medco Forms

Prescription Drug Reimbursement Form

Must Be Used Together:
Health Allergy and Medication Questionnaire
Mail Order Prescription Form

Membership Forms

Authorization For Representation
Obligation of IBEW Form
Form W-9
Form W-4 (2 Pages)
Employee Time Report


Dept. of Labor Contracting Agency Forms

Request for Wage and Supplement Information Form


Workers Comp / Disability Forms

New York State Workers Compensation / Disability Forms


Pension Benefit Forms

IBEW (International) Beneficiary Form
Request an IBEW (international) pension application