Fund Forms

Fund Forms

Welcome to the Sprinklerfitters Local Union No. 281 Welfare Fund Forms page. Click on the links below in order to download printable versions of each specific form.

• Appeals Procedure
• Beneficiary Card
• Beneficiary Forms
• Blue Cross International Claim Form
• Census Form
• Dependent Child Enrollment
• HIPAA Authorization Form
• HIPAA Family Authorization Form
• Humana Enrollment Form
• MaxorPlus Reimbursement Form
• Retiree Coverage Election Form
• Workers’ Compensation Agreement
• Workers’ Compensation Benefits