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I. E. Shaffer & Co. fax number

(609) 530-1331

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Plan Administration / Welfare Fund Office

Used for: Tax withholding election form for temporary disability income payments (Disability-Tax-Form) submitted to I. E. Shaffer & Co. as plan administrator.

Fax destination details

Department
Plan Administration / Welfare Fund Office
Purpose
Tax withholding election form for temporary disability income payments (Disability-Tax-Form) submitted to I. E. Shaffer & Co. as plan administrator.
Form
Disability withholding election form — Disability Tax Withholding Election Form
Address
830 Bear Tavern Rd, West Trenton, NJ 08628-1020
Voice phone
(609) 883-6688

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Fill in the Welfare Fund name, your name, and your Social Security Number; select Option A (no federal tax withholding) or Option B (federal tax withheld); sign and date the form; submit to the plan administrator (fax number: 609-530-1331) or via the sponsor's submission method.

Official form instructions are published as a downloadable file on the organization's website.

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