Claim forms may be obtained from the Trust Fund’s Administrative Agent. Before submitting the claim form, ensure that all questions have been answered and that you have clearly identified yourself by full name, return mailing address and Local Union. If the claim is for your Dependent, provide the Dependent’s first name, date of birth and relationship to you.
When you are sure that all of the above has been completed, forward the form and a copy of your Discharge Summary from the Hospital in order to confirm admission and discharge dates, if applicable, to the Administrative Agent.