FORMS

Adobe Acrobat Reader is required to view, download, and fill out these forms.

General Forms

 Name Address Telephone Change Form

Annuity Fund
Rules for Loans to Participants + Application for Loan
Benefit Application Form
(Qualified Joint And Survivor Annuity Election/Rejection Form)
(Tax Withholding/Transfer Election Form)
Special Tax Notice (Rev 12/2009)
Election to Defer Payment

Health & Welfare Fund
Spouse/Dependent Questionnaire
 Massage Therapist Provider Certification
 Claim for Vision Care Benefit
 Claim for Physical Examination Expenses
 Pharmacy Direct Member Reimbursement Form

Supplementary Unemployment Benefit Fund
Application for Sub Benefits

Training Fund
 CATV Industry IBEW Training Fund - Application for General Education Benefits
 CATV Industry IBEW Training Fund - Application for General Eduation Benefits SHORT COURSES (Employees Only)
 CATV Industry IBEW Training Fund - General Education Reimbursement Request Form
 Hawaii Electricians Training Fund - Wireperson Daily Progress Report
 Hawaii Training Fund - Telecommunication/CATV Installer Technician Daily Progress Report

Vacation & Holiday Fund
Application for Vacation Benefits
Application for Termination of Benefits

Federal Credit Union
Name/Address Change Form – FCU accounts only


Local Union 1186 IBEW
Administrative Office
Federal Credit Union
Signatory Contractors
Retiree Association
Forms
Members Area
Contact Us