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Michigan Conference of Teamsters Welfare Fund fax number

(313) 496-2933

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Claims/Benefits Administration

Used for: Fax submission of COVID-19 Weekly Accident & Sickness Benefits Claim Form

Fax destination details

Department
Claims/Benefits Administration
Purpose
Fax submission of COVID-19 Weekly Accident & Sickness Benefits Claim Form
Form
COVID-19 Weekly Accident & Sickness Benefits Claim Form — COVID-19 Weekly Accident & Sickness Benefits Claim Form
Address
2700 Trumbull Avenue, Detroit, MI 48216
Voice phone
800-572-7687

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1. Every item must be completed in full by you and your doctor. 2. Benefits cannot be considered unless these instructions are strictly complied with. 3. Pay careful attention to details in completing your claim. The Contract No MUST appear on all Claims, Replicas, Inquiries and Correspondence.

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

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