Local 183 bereavement pay form 2026

1. Click ‘Get Form’ to open the local 183 bereavement pay form in the editor.
2. Begin by filling out the Member Information section. Enter your last name, first name, gender, address, city, province, postal code, and contact numbers. Ensure that you provide your Union ID or Social Insurance Number (SIN) for identification.
3. Indicate your marital status by selecting from the options provided: Married, Common-Law, Single, Separated, Divorced, or Widow. Also include your date of birth and the country of residence.
4. In the Bereavement section, specify the name of the deceased and their relationship to you. Note that you can claim $150 per day for a maximum of three consecutive days.
5. If applicable, complete the Parental Leave section by providing your child's name and date of birth. You may claim $100 per day for a maximum of three consecutive days for parental leave.
6. Finally, in the Member Disclosure Authorization section, attach necessary documents such as a photocopy of the birth/death certificate and a letter from your employer confirming your absence dates. Sign and date the form before submission.

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