Empire State Carpenters

Welfare Fund

Application for Health Reimbursement Account Withdrawal

Beneficiary Designation Form for All Funds

College Verification Form.

Coordination Of Benefits Form

Hearing Aid Benefit Form

Empire Benefit Provider List

Empire Dependent Information Form

Empire State Carpenter Funds Waiver

Empire State Carpenters COA

Out of Network Claim Form

Unemployment Form

HIPAA Authorization Cover Letter

HIPAA Authorization To Release Info Over 18

HIPAA Info Release Authorization

Health Replacement Account Claim Form

Optical Claim Form

Optical Form For 370 Retirees