This page provides a description of and links to National IAM Benefit Trust Fund forms related to the Fund’s STD plans. Click the form titles below to review or download copies.
- Enrollment Form
Eligible employees may enroll in a National IAM Benefit Trust Fund Short Term Disability plan by completing and submitting this form. A Benefit Trust Fund short-term disability plan must be negotiated into a CBA, and the eligible employee must also enroll in an associated Benefit Trust Fund medical plan, in order to enroll in a Fund STD plan.
- Short-Term Disability Claim Form
Short-Term Disability Claim Form (PDF)
To submit a disability claim, have a Short-Term Disability Claim Form completed by your employer, yourself, and your physician. Send your completed claim form to the Fund Office for processing.
- Waiver Form
Eligible employees wishing to waive coverage must complete and submit this form.