District 9 welfare trust 2026

1. Click ‘Get Form’ to open the district 9 welfare trust form in the editor.
2. Begin by filling out the Member Information section. Enter your Last Name, First Name, Middle Initial, and Member ID number found on your insurance card. Update your Home Address and check the box if it is a new address.
3. Provide your City, State, Zip code, Home Phone number, and select your Marital Status from the options provided.
4. Complete the Spouse Information section if applicable. Indicate whether your spouse is employed and provide their Employer's Name and Date of Birth.
5. Fill in Medicare Information by listing each family member on Medicare and including copies of their Medicare cards.
6. In the Other Medical Insurance Information section, enter the Medical Insurance Carrier Name and Insured Member details. Include copies of all other insurance cards.
7. Repeat step 6 for Dental Insurance Information, ensuring you include all necessary details and documentation.
8. Finally, certify that all information is accurate by signing and dating the form at the bottom before submission.

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