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This form should be used if you would like another person or entity other than yourself to receive your protected health information.
This form should be used to notify EIT of your new address. You can also register for an EIT Online Account to make future address changes.
Federal Law now requires that health plans report Social Security Numbers (SSNs) for covered dependents. Please utilize this form to provide SSNs for all dependents.
Available from within the Participant Portal.
Disability application instructions and forms to apply for Disability Benefits.
(Disability Benefits do not apply to Participants of the Participatory Plan or who are currently covered under COBRA)
This is a form to fill out and mail to us if you would like to designate a beneficiary or update beneficiary information.
Effective 1/1/2023, the Plan now offers Maternity Leave Benefits for the Construction, Communication, Miscellaneous, Office and Miscellaneous and Administrative Plans.
A Participant who is expecting or has given birth should complete this online Maternity Leave Benefit Statement.
Use the forms below for Pension requests.
Request for Disabled Dependent Coverage Form.
You must complete an
application EVERY time you get laid off. This must be done
within 14 days of your layoff. Do not wait until you receive
payment from State Unemployment to file a SUB Application -
It may result in unpaid weeks.
If you are an Apprentice and are directed by the fund office to complete the training benefit application prior to starting your class, use this online form. This application must be completed for each class that you attend.
- IL W-4 (Illinois Employee Withholding)
- IL W-5-NR (Illinois Nonresidence Statement)
- IRS W-4 (Federal Employee Withholding)
- IRS W-4P (Federal Pension Withholding)
- IRS W-4S (Federal Sick Pay Withholding)
- IRS W-9 (Request for Taxpayer Identification)
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