Michigan Carpenters'

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Forms

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  • Participant Data Card

  • Yearly Coordination of Benefits and Dependent Status Statement

  • COBRA Continuation Coverage - Election Form

  • Change of Address Form

  • Authorization and Request Form to Transfer Employer Contributions Under Reciprocity Agreements

  • Application for Member Death Benefit

  • Application for Spouse Death Benefit

  • Pension Deduction Authoriztion

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    6525 Centurion Drive, Lansing, MI 48917-9275
    Phone: 517.321.7502 • Toll-free: 800.273.5739 • Fax: 517.321.7508