| Medical Forms Download Area |
All downloads are in the Adobe Acrobat PDF format.
Viewing documents requires the
Acrobat Reader that can be
downloaded from the
Adobe website.
| Medical Claim Form |
| Dental Claim Form |
| Vision Claim Form |
| Link to RXSolutions.com |
| Workers Compensation Medical Care Booklet |
| Workers Compensation Medical Care Fact Sheet |
USE AND DISCLOSURE OF HEALTH INFORMATION
Very important
notice regarding the Local 16 Trust's
compliance with the federal HIPPA privacy rules.