DUES DEDUCTION AUTHORIZATION FORM

As per the Inside Construction Agreement , the working assessments are 4% of your gross wages and are deducted from your weekly paycheck and submitted to Local 112 monthly by your employer.  However, it is your responsibility to pay your basic dues each month.  

VACATION SAVINGS AUTHORIZATION FORM

If you would like to participate in the Vacation Savings Program, you will need to complete the authorization form to give to your employer for the deduction of 10% of your gross wages.  You must open an IBEW SAVINGS  account at the Tri-CU  Credit Union at their office at 3212 W. 19th Ave. in Kennewick, WA. PRINT AUTHORIZATION DEDUCTION FORM HERE AND GIVE TO YOUR EMPLOYER.

FAX FORM TO CONFIRM MONTHLY  ON THE

OUT-OF-WORK BOOK

If you are currently registered on the out-of-work book, you need to confirm your registration monthly to remain on the book. You can confirm at the monthly unit meetings, in person at the hall, by postcard supplied by the hall or by faxing in a form.  If you fax, it must be received in the hall no later than 5:00 p.m. on the last business day of the month.

 SUPPLEMENTAL BENEFIT ACCOUNT (SBA)

(SBA Claim Form)

 The Supplement Benefit Account is part of our Health & Welfare Program through the IEEW Health & Welfare Trust.  It is a fund that can be used to cover medical or dental issues not covered by the Plan. Submit the completed form to Rehn & Associates at P. O. Box 5433, Spokane, WA  99205.  Be sure to incude the required documentation.

AUTOMATIC PREMIUM SBA REIMBURSEMENT FORM 
DIRECT DEPOSIT SBA REIMBURSEMENT FORM

HEALTH & WELFARE PARTICIPANT DATA FORM

   If you need to make changes to your Health & Welfare enrollment to add or delete the names of those covered or to change your beneficiary, you can complete this form and submit it to Rehn & Associates in Spokane.

HEALTH & WELFARE DISABILITY FORM

$400 per week for weeks 1 - 4 and $500 per week for the 5th - 26th week. Not eligible if under a Labor & Industries Claim. 

112 / 73 RETIREMENT FUND - NECA -IBEW

If you have retired or meet the criteria to withdraw your funds from the 112/73 Retirement Fund, you can submit a withdrawal form to Rehn & Associates in Spokane.  Early withdrawal can result in additional penalties, so be sure to know all the information concerning taxes and penalties before withdrawing these funds. If you choose to withdraw your funds and meet the requirements, contact Rehn & Associates at 1 -800-872-8979.

WITHDRAWAL FORM FOR 59 1/2 OR OLDER &  STILL WORKING 

WITHDRAWAL FORM WHEN RETIRED OR NO LONGER WORKING 

CHANGE OF BENEFICIARY FORM

NATIONAL 401K PLAN

Your participation in this plan is optional.  As of June, 2018, the contribution rate is 5% of your gross wages.  It is your responsibility to complete the form and send a copy to the IBEW Investment Department and also a copy to your employer.   PRINT AN ENROLLMENT FORM

IBEW PENSION 
Beneficiary Form 

Bank Account Change Form

NATIONAL ELECTRICAL BENEFIT FUND PENSION APPLICATION

N.E.B.F.

REQUEST FOR STATUS