Health and Welfare Fund
Pension Trust Fund
822 North Lakeshore Drive
Lake Charles, LA.  70601
[337] 433 - 1447
 

 

Click Here for the Defined Benefit Fund ...
Click Here for the Retiree Pension Check Fund
 
 
 

Current Retiree Information

If you are a current Retiree and wish to make changes to your federal withholding election, Direct Deposit authorization or your insurance election, please click on the form/forms needed below.  Complete and return the form/forms to the Fund Office at 822 N. Lakeshore Drive, Lake Charles, Louisiana  70601.  

 

The forms below are designed in a PDF format. If you do not have Adobe Reader on your computer please Click the logo below for a free copy. This will allow you to view or print the desired form.

 Forms:                                     Insurance Election Form                              (Click to Print)                                 Direct Deposit Authorization
                                                 Federal Withholding Form
                                                 Union Dues FormGet Adobe Reader