I.B.E.W. LOCAL 415

Online Forms

The Spring 2011 Stocker Scholarship applications are due before December 30, 2010. Click on Online Forms for application.

Most forms are in Adobe format. You can download free Adobe Reader software from the following site.
 
You can FAX completed forms to our office.
FAX : (307) 637-7526

Click on Adobe icon to download free reader
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Click on this link to send an online RE-SIGN FORM.

Change of Address Form

Accumulation Form for Prescription Drugs

8th District Claim Statement

8th District Benefit Request

Beneficiary Designation Form

Application for Death Benefit

Stocker Scholarship Application