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1199SEIU Benefit Funds fax number
(646) 473-6829
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Pension Fund Administration
Used for: Submit ESRD Medical Evidence Report to the Benefit Funds; pension applications (Normal/Early/Disability) also documented via mail or fax to the relevant 1199SEIU pension fund.
Fax destination details
- Department
- Pension Fund Administration
- Purpose
- Submit ESRD Medical Evidence Report to the Benefit Funds; pension applications (Normal/Early/Disability) also documented via mail or fax to the relevant 1199SEIU pension fund.
- Form
- ESRD Medical Evidence Report — ESRD Medical Evidence Report
- Address
- PO Box 975, New York, NY 10108-0975
- Voice phone
- 646-473-8666; 800-575-7771
- Website
- Visit organization website
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If you have End-Stage Renal Disease (ESRD), provide the ESRD Medical Evidence Report to the Benefit Funds’ Eligibility Department. Fax it to 646-473-6829 or mail to 1199SEIU Benefit Funds, PO Box 1144, New York, NY 10108-1144. For pension applications (Normal/Early/Disability), follow the form instructions (GNYFP1/NPFP1) and fax/mail to the appropriate Pension Fund.
Official form instructions are published as a downloadable file on the organization's website.
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