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Participant Center	For All Participant Groups
Forms Notices General Information	Forms Authorization to Release Protected Health Information (PHI) Form This form should be used if you would like another person or entity other than yourself to receive your protected health information. Change of Address Form (NEW On-Line) 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. Dependent Information Request Form 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. Direct Deposit Form Direct Deposit is now mandatory for all payments including Pension, Supplemental Unemployment and Disability. Disability Application Package 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) Group Life Beneficiary Designation Form This is a form to fill out and mail to us if you would like to designate a beneficiary or update beneficiary information. Maternity Leave Benefit Statement 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. Pension Use the forms below for Pension requests. Plan 5 - Beneficiary Designation Form Plan 5 - Full Distribution Forms Package Plan 5 - Partial Distribution Forms Package Qualified Domestic Relations Order (QDRO) Procedures for Qualified Domestic Relations Orders Separate Interest Form Request for Disabled Dependent Coverage Request for Disabled Dependent Coverage Form. Supplemental Unemployment Benefit (SUB) 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. SUB Application SUB Certification Apprentice Training Benefit Application (ASF) 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. Subrogation Questionnaire Workers’ Compensation Disability Statement Useful Tax Forms 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) You must have a PDF reader to open, view, and print a PDF file. Click here to download a PDF reader by Adobe®
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