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  • Application For Member Death Benefit

  • Application for Michigan Divorce or Annulment Record Form

  • Beneficiary Designation Form

  • Change Of Address Request

  • Direct Deposit Authorization Form

  • Participant Data Card

  • Request for Application

  • Request for Estimated Pension Benefit

  • Return To Work Form


  • TAX FORMS


  • IRS Form W4P

  • Michigan Form W4P


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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