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  • Change of Address Request

  • Election Form for Health Care Coverage

  • Pension Deduction Authorization for Health Self-Payment

  • Retiree Information Form

  • Benefit and Dependent Status Statement

  • Student Verification Form

  • Totally and Permanently Disabled Form

  • Application for Member Death Benefit

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    Upper Peninsula Plumbers' & Pipefitters' Fringe Benefit Funds
    6525 Centurion Drive
    Lansing, Michigan  48917-9275
    Phone: 517.321.7502 | Toll Free: 800.342.1730
    Fax: 517.321.7508