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                              HEALTH AND WELFARE FUND

Health and Welfare Forms

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• Medical Claim Form

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• Participant Data Form

• Authorization to Exclude Benefits

This site as last updated : 12/30/08

Please contact the webmaster with any questions or comments

Plumbers and Pipefitters Local 501
Northern Illinois Benefit Funds
1295 Butterfield Rd., Aurora, IL 60502-8879
Ph (630) 978-4600 Fax (630) 978-4616