You are restricted to public info.    
International Union of Operating Engineers: Local 399
handw.jpgPlease alert the H&W Department of any changes to your contact information

H&W Forms Resource



H&W Logo 400.jpg    


Thank you for visiting the Forms Resource Page.
Please click on the images below
to view/download forms.


Enrollment Form Image.jpg    Address Change Form Image.jpg    Dependent Change Form Image.jpg  
Enrollment Form   Address Change Form   Dependent Change Form  
COB Form Image.jpg  
Short Term Disability Image.jpg  
  VSP Reimbursement Form.jpg  
Coordination of Benefits Form   Short Term Disability Form   VSP Reimbursement Form  
BCBSIL Claim Form.jpg
  CVS Mail Order Form.jpg   Delta Dental Claim Form.jpg  
BCBSIL Claim Form   CVS Mail Order Form   Delta Dental Claim Form