Representing the Hudson Valley and Upper New York State Telephone Members
FORMS - Please Click and Print
Voter Registration Forms
English Voter Registration Form
Spanish Voter Registration Form
Annuity / SUB / Vacation - Dues Forms
Annuity Benefit Application Form (11 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:
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
Workers Comp / Disability Forms

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