CWA 1180 Training and Education

Benefit claim forms

Click below to download the claim form you want (the download will take a few minutes). To file a claim, print the form and return it to the benefit funds office. We recommend reading the description of the benefit before filling out the form. Click here to return to the overview of all the benefits. You can also order claim forms from the union by calling our claim forms hotline at 212-925-1091.

(To download these forms, you will need Adobe Acrobat Reader. Most browsers now have this software. If yours does not, click here to download and install Acrobat Reader.)

Life and health benefits (Security Benefits Fund)

General medical reimbursement
Weekly accident and sickness benefit (disability benefit)
Scheduled dental benefit (dental forms must be obained through the Benefit Fund Office)
Home health care benefit
Clinical benefit (psychiatric)
Hearing aid reimbursement benefit
UCS drug benefit
Optical benefit
Birth/adoption benefit (parental benefit)
Podiatry benefit

Education benefits (Education Fund)

Annuity benefits (Annuity Fund)

Designation of beneficiary

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