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Railroad Maintenance and Industrial Health and Welfare Fund
  • Summary Plan Descriptions
  • Summary Material Modifications
  • Participant Notices
  • Forms
  • Delinquent Contractors
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  • Summary Plan Descriptions
  • Summary Material Modifications
  • Participant Notices
  • Forms
  • Delinquent Contractors
  • FAQs
  • Links

Forms

Claims

  • 2026 Annual Medical Claim Statement Notice
  • Medical Claim Statement
  • Medical Claim Statement (Spanish/EspaƱol)
  • Accident Report Form
  • Death Benefit Claim Form
  • Family Supplemental Benefit Claim Form
  • Family Personal Representative Form
  • Participant Confidential Communications Request

Eligibility

  • Benefit Enrollment Form
  • Loss of Income Benefit Statement of Claim
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