CONNECTICUT CARPENTERS BENEFIT FUNDS
10 BROADWAY, HAMDEN, CT 06518 | (203) 281-5511 | FAX (203) 288-3235 | (800) 922-6026

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Employers
Login in here for access to the on-line contribution reporting system and receipts

Contribution Forms

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Annuity Plan Booklet

Annuity Withdrawal Options

HIPPA Authorization Form (Must be completed if Hardship Withdrawal is for medical bills)

• Application for Benefits (320 Kb)

• Special Tax Notice (84k)

• Summary of Withholding Options (104 Kb)

• Election for Income Tax Withholding (58 Kb)

• Voluntary Contribution Procedures and Election Form (49 Kb)

• 2005 CT-W4P (64 Kb)

• Explanation of Forms of Payment (208 Kb)

• Authorization for Payment of Health Self-Pay from Fund (88 Kb)

• Hardship Withdrawal Forms (428 Kb)

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