Dependent Form
The LiUNA Local 837 Health & Welfare Plan form collects essential member and dependent information for benefit claims processing using this form.
Appointment of Beneficiary
Use this form to appoint a beneficiary for your union benefits in the event of your passing.
Extended Health Claim Form
The Extended Health Care Claim with Health Care Spending Account (HCSA) form is used to claim reimbursement for eligible health expenses under Manulife group benefits plans using this form.
Claim for Bereavement Leave
The LiUNA Local 837 Bereavement Leave Claim Form provides financial support for members taking unpaid leave due to the death of an immediate family member. Make your claims using this form.
Claim for Parental Leave
The LiUNA Local 837 Parental Leave Claim Form enables eligible members to claim a financial benefit for a brief period of leave following the birth of their child using this form.
Transfer of Hours TO Local 837
The LiUNA Local 837 Health and Welfare Trust Fund Transfer of Hours to Local 837 form allows members to request the transfer of worked hours from another LiUNA Local union to Local 837 using this form.
Transfer of Hours FROM Local 837
The LiUNA Local 837 Health and Welfare Trust Fund Transfer of Hours form enables members to request the transfer of their worked hours from Local 837 to another LiUNA Local union using this form.
Irregular Vacation Pay Application
The Irregular Vacation Pay Application allows LiUNA Local 837 members to request an early withdrawal of vacation pay outside regular payout periods using this form.