Insurance Forms

NOTE: These forms are all in PDF format. You must have Adobe Acrobat Reader installed on your computer. If you cannot open these files, please go here and download Acrobat Reader for free.

Claims for Dental, Vision, Disability, Health Club, and Flu Shot are to be sent to the address on the form for reimbursement. Please make a copy for your records.

Pension Forms

Pension form to be sent to address on the first page at the bottom and do not forget to mark whether the application is for Vesting or Retirement purposes.

If you would like your dues paid automatically every month from your credit union account, please fill this out and send to Beacon Credit Union


Please read forms carefully and follow all instructions.

Reminder:  When filing for Advance Supplemental Unemplyment you must attach copies of your State Unemployment records for thw previous 60 days.

SASMI Addendum to file H&W Payments (if eligible)

Application for SMART Local 110 Apprenticeship