Toledo electrical welfare fund 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your name and Social Security number in the designated fields under 'Member’s Information'.
  3. Itemize all receipts for health expenses incurred by you or your eligible dependents. Ensure each receipt is listed individually, as instructed.
  4. For Type 1 Benefits, include details such as Date of Service, Name of Patient, and Your Out-of-Pocket Expense for each itemized receipt.
  5. If applicable, check the box requesting any pended claim amount available up to your contribution balance.
  6. Sign and date the form at the bottom to certify that you will not claim these expenses as a tax deduction.
  7. Finally, submit the completed form along with any required documentation to the Toledo Electrical Welfare Fund address provided.

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