Forms Page


This is the Forms page.

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Select a category from the following list. When you find the desired form, click either the image of the form or its name to open it.

GHI Forms
HCFA 1500

Used for most services.
Mail completed form to:

GHI
PO Box 2832
New York, NY
10116-2832
Dental Form Mail completed form to:

GHI
PO Box 2838
New York, NY
10116-2838
Prescription
Form

Mail completed form to:

Paid Prescriptions, Inc.
PO Box 6121
Fair Lawn, NJ
07410-0999

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DavisVision Forms
Vision Care
Claim Form
Mail completed form to:

Vision Care Processing Unit
PO Box 2270
Schenectady, NY
12301

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Other Claim Forms
Disability
Claim Form
Mail completed form to:

Metal Lathers 46
Fund Office
260 East 78th Street
New York, NY
10021-2095
Attn: Tony D'Amico

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Reciprocity Forms
Reciprocity Agreement
Explanation Letter
Contributions
Transfer
Form
Mail completed form to:

Metal Lathers 46
Fund Office
260 East 78th Street
New York, NY
10021-2095
Attn: Tony D'Amico

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Beneficiary Cards
Annuity
Account
Beneficiary
Card
Mail completed form to:

Metal Lathers 46
Fund Office
260 East 78th Street
New York, NY
10021-2095
Attn: Carol Stephenson
Life
Insurance
Beneficiary
Card
Mail completed form to:

Metal Lathers 46
Fund Office
260 East 78th Street
New York, NY
10021-2095
Attn: Carol Stephenson
Pension
Fund
Beneficiary
Card
Mail completed form to:

Metal Lathers 46
Fund Office
260 East 78th Street
New York, NY
10021-2095
Attn: Carol Stephenson
Vacation
Fund
Beneficiary
Card
Mail completed form to:

Metal Lathers 46
Fund Office
260 East 78th Street
New York, NY
10021-2095
Attn: Carol Stephenson

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Employer Remittances
Standard Agreement
Standard Agreement
Explanation Letter
Standard
Employer
Contribution
Form
Mail completed form to:

Metal Lathers 46
Fund Office
260 East 78th Street
New York, NY
10021-2095

Return to Form Index



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