HERE YOU'LL FIND YOUR TRUST ADMINISTRATION FORMS

Claim forms are available from the Administrative Agent or downloaded online. The downloadable claim forms are for eligible active members and eligible dependents of the Local 183 Members Benefit Fund as listed below.
Please be sure to complete them fully, attach necessary original paid in full invoices along with any other original documentation where applicable and keep a copy for your records to substantiate your claims, and submit to the following mailing address:
LiUNA Local 183 Trust Administration
1263 Wilson Avenue – Suite 205
Toronto, ON M3M 3G2

APPLICATION CARD

AUTHORIZATION TO RELEASE PERSONAL INFORMATION

DIRECTION TO ASSIGN BENEFITS

MEMBER CHANGE OF ADDRESS

REPLACEMENT DRUG CARD APPLICATION

TRANSFER OF DOLLARS

TRANSFER OF HOURS

VACATION PAY PROBLEM FORM

VACATION PAY WITHDRAWAL APPLICATION

WORKPLACE SAFETY INSURANCE BOARD (WSIB) INFORMATION

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