BENEFIT RECIPROCITY FORMS (CLEVELAND)
- IF YOUR HOME FUND IS
THE CARPENTERS HOSPITALIZATION PLAN (Cleveland), PRINT EACH FORM BELOW THE
LOCAL OF THE AREA THAT YOU WORKED.
SUBMIT TO THE ADDRESS
LISTED AS “TRANSFERRING FUND” ON EACH FORM.
For example, if you worked for Local #1066, you
would need to submit a form for all three funds. If you worked for Local #1393, you would only need to complete
the Annuity form.
§ Local #1066 - Dayton/Cincinnati
Counties of Brown, Butler, Clermont, Clinton,
Hamilton, Warren, Champaign, Clark, Darke, Greene, Logan, Miami, Montgomery
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Pension
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Annuity
§
Local #1241 –
Columbus
Counties
of Delaware, Fairfield, Franklin, Guernsey, Licking Madison, Marion, Morgan,
Muskingum, Noble, Perry, Pickaway, Union
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Annuity
§
Local #1519 –
Ironton
Counties
of Adams, Fayette, Gallia, Highland, Hocking, Jackson, Lawrence, Meigs, Pike,
Ross, Scioto and Vinton
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Annuity
§
Local #1393 –
Toledo
Counties
of Crawford, Defiance, Fulton, Hancock, Henry, Lucas, Ottawa, Paulding,
Sandusky, Seneca, Williams, Wood, Allen, Auglaize, Hardin, Mercer, Putnam, Van
Wert and Wyandot.
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Annuity
These forms have been reproduced into PDF (portable document
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you will have direct access to it from your computer and you will be able to
open the PDF files below.
PLEASE
NOTE: Millwright-Pile Driver
Local #1871 does not control this download or the Acrobate Reader
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download could take over an hour to successfully complete. Check the Acrobate Reader system
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