Common Forms
Instructions for PDF use: Forms;
You will need Adobe Reader to view and print the following forms.
Click on the "Get Adobe Reader" link button provided below to download free Adobe Reader to view and print forms.
This page contains many Underlined Links. Left-Click once on underlined text to open a "Download Window" for commonly used printable forms. Adobe Acrobat Reader is needed to open, view, and print these documents for use.
Forms: (click a link to view PDF file)
Update Participant and Dependent Status
This form is used to update your family status for Health and Welfare participation.
Open Family Update Form
Change Address
Print and mail this form to the Fund Office when you wish to change your address
Open Change of Address
Family Privacy Form
Coming Soon.
Open Family Privacy Form
Prescription Claim Form
This form is used to get reimbursement for Prescription drugs normally covered by Express-Scripts, but were paid for entirely out of pocket.
Open express-scripts_claim_form
Vision Plan Out of Network Claim Form
This form is used for Out of Network Claims. Please print, fill out, and mail to the fund office.
Open VSP Out of Network Claim Form
If you have any questions or you wish to request any literature, please call:
(816)756-3313.
Or, write to us at
Wilson McShane Corporation
3100 Broadway, Suite 805
Kansas City, MO 64111
Or, E-Mail us at: dc3benefits@wilson-mcshane.com
Note - For Pension related forms, please Login and click on the Pension Records Link.