Downloads for the Benefit Funds Office

Adobe Download

	Dependent Authorization Form
	Caremark Mail Service Order Form
	Fitness Benefits
	Weight Loss Benefits
	Davis Vision Direct Reimbursement Claim Form
	Student Dependent Attendance Report
	Authorization Form
	Census card

Loss of time form

	Change of Address
	Duplicate Coverage Inquiry

These printable forms are in PDF (Portable Document) format. To read / print them, you may need to install the Adobe Reader on your computer.

Click on the link below to install Adobe

[Home] [Funds Administration] [About Us] [Office Locations] [Employers] [Participants] [Participant Forms] [Retirees] [Health & Welfare Benefits] [Annuity & Savings Plan] [Pension Plan] [Upcoming Events] [Publications] [Helpful Links] [Our Picture Gallery] [Feedback] [Disclaimer]