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West Virginia Laborers Trust Fund fax number

(304) 342-2610

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Plan Office

Used for: Disability claim submission and related plan communications (e.g., disability benefits forms) to the Plan Office

Fax destination details

Department
Plan Office
Purpose
Disability claim submission and related plan communications (e.g., disability benefits forms) to the Plan Office
Form
Disability claim form — Disability Claim Form
Address
One Union Square, Suite 200, Charleston, WV 25302
Voice phone
(304) 342-5142

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Fill out participant details, physician information, and coordination of benefits as prompted on the form; submit to the Plan Office by fax or mail along with any medical attachments.

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