Download a free copy of Adobe Acrobat ReaderThe forms are in PDF format, and you will need Adobe Acrobat Reader to open them. You can download a free copy of Adobe Acrobat Reader by clicking here.

IRAP Plan Changes:

Click Here to download a printable PDF-IRAP Plan Changes - FIDELITY

Click Here to download a printable PDF-IRAP Plan Changes - VANGUARD

Summary Plan Descriptions:

Click Here to download a printable PDF-Health & Benefit Summary Plan Description form. (Warning: This is a very large file, so it will take a while to download depending on what type of Internet connection you have. )

Click Here to download a printable PDF-IRAP Summary Plan Description form. (Warning: This is a very large file, so it will take a while to download depending on what type of Internet connection you have. )

Click Here to download a printable PDF-Pension Summary Plan Description form. (Warning: This is a very large file, so it will take a while to download depending on what type of Internet connection you have. )

Click Here to download a printable PDF-Vacation Summary Plan Description form. (Warning: This is a very large file, so it will take a while to download depending on what type of Internet connection you have. )

Other forms:

Click Here to download a printable PDF-Affidavit for Dependent Child form.

Click Here to download a printable PDF-Affidavit for Disabled Dependent form.

Click Here to download a printable PDF-Affidavit for Dependency form.

Click Here to download a printable PDF-Agreement of Re-Payment, Assignment and Subrogation form.

Click Here to download a printable PDF-Annual Health Examination and Immunization form.

Click Here to download a printable PDF-Coordination of Benefits Information form.

Click Here to download a printable PDF-Delta Dental form.

Click Here to download a printable PDF-Statement of Claim for Weekly Disability Benefits (Employee Statement) form.

Click Here to download a printable PDF-Injury Accident Form Agreement of Re-Payment, Assignment and Subrogation form.

Click Here to download a printable PDF-Direct Member Reimbursement form (Prescription Drugs).

Click Here to download a printable PDF-Permanent Data Form.

 
 
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