Contractor Forms

Click on the form name to download.

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Form Name	Form Purpose
Employer Reporting Form	Blank Monthly Contribution Reporting Form
Remittance Report Example	Remittance Report Example
Reporting Form Instructions-Parent Body	Step by step instructions for completion of Monthly Contribution Reporting Form for Parent Body contractors
Reporting Form Instructions – C-Branch	Step by step instructions for completion of Monthly Contribution Reporting Form for C-Branch contractors
2016 Surcharge Schedule	Surcharge rates effective May 1, 2016
2015 Surcharge Schedule	Surcharge rates effective May 1, 2015
2014 Surcharge Schedule	Surcharge rates effective May 1, 2014
2013 Surcharge Schedule	Surcharge rates effective May 1, 2013
2012 Surcharge Schedule	Surcharge rates effective May 1, 2012
Local 542 County Codes and Districts	Counties, Contract Codes and Districts in Local 542 Jurisdiction

Important Forms

The SUB benefit will be increased to $250 for weeks ending December through March.
Blue Medicare Advantage Plan starting January 1, 2025 instead of Aetna - Click here for mailer
Please take note regarding the SUB fund: You must apply for benefits within 90 days of the Saturday of the week you are first unemployed and eligible for benefits. Subsequent claims must be made within 90 days of the week -ending for which benefits are payable.
The Welfare Fund has been covering CDL Physicals since the start of 2018. Click here for the requirements for reimbursement.
Motor Vehicle Accidents are Not covered by the Welfare Fund. (Please talk to your insurance agent about increasing your medical coverage.)
Non-spousal Dependent Maternity is not covered.
Let us know when you: get Married or Divorced, have a child, or move.
When retired, our Health & Welfare plan (if eligible) requires you and/or your spouse to have Medicare A & B when eligible.