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Get Ibew 353 Sub Fund

IBEW LOCAL 353 SUB PLAN CLAIM FORM You can only claim SUB Plan benefits if all of the following apply your employer pays contributions to the SUB fund for you you are laid off because of shortage of work attending trade school or on parental leave you make a claim for Employment Insurance Benefits you have worked for contributing employers for at least 1800 hours in the last 24 months you are registered as out of work trade school or on parental/pregnancy leave at the union hall You cannot claim SUB Plan benefits 1. if you quit are dismissed are on vacation if you retire or are on an Employment Insurance Medical Claim 2. if you are listed ill and injured or NAT Name City Postal Code Address SIN Last employer Date last worked Relevant to Claim Back to work If Applicable of work claim school claim I am currently claiming the followingweeks from Sundayto Saturday Day/Month/Year Please select only one box 1377 Lawrence Ave. East Toronto 3185 Orlando Drive Mississauga Please attach your E*I. Benefit Statements To obtain your E*I. Benefit Statements go on-line www. servicecanada*gc*ca create an account click on view my payments click on the underlined weeks and print* Return to any of the following IBEW 353 locations 380 Lake Road Unit 3 Bowmanville 2 Saunders Road Barrie OR Fax 416 510-3531 I am not receiving Employment Insurance because I have used all my E*I. benefits or have not worked enough hours to claim and attach my E*I. notice of disentitlement or disqualification unless already submitted. I hereby am applying for SUB Plan Benefits. I affirm that the above statements are true and correct. if you quit are dismissed are on vacation if you retire or are on an Employment Insurance Medical Claim 2. if you are listed ill and injured or NAT Name City Postal Code Address SIN Last employer Date last worked Relevant to Claim Back to work If Applicable of work claim school claim I am currently claiming the followingweeks from Sundayto Saturday Day/Month/Year Please select only one box 1377 Lawrence Ave. if you are listed ill and injured or NAT Name City Postal Code Address SIN Last employer Date last worked Relevant to Claim Back to work If Applicable of work claim school claim I am currently claiming the followingweeks from Sundayto Saturday Day/Month/Year Please select only one box 1377 Lawrence Ave. East Toronto 3185 Orlando Drive Mississauga Please attach your E*I. Benefit Statements To obtain your E*I. East Toronto 3185 Orlando Drive Mississauga Please attach your E*I. Benefit Statements To obtain your E*I. Benefit Statements go on-line www. servicecanada*gc*ca create an account click on view my payments click on the underlined weeks and print* Return to any of the following IBEW 353 locations 380 Lake Road Unit 3 Bowmanville 2 Saunders Road Barrie OR Fax 416 510-3531 I am not receiving Employment Insurance because I have used all my E*I. Benefit Statements go on-line www. servicecanada*gc*ca create an account click on view my payments click on the underlined weeks and print* Return to any of the following IBEW 353 locations 380 Lake Road Unit 3 Bowmanville 2 Saunders Road Barrie OR Fax 416 510-3531 I am not receiving Employment Insurance because I have used all my E*I. benefits or have not worked enough hours to claim and attach my E*I. notice of disentitlement or disqualification unless already submitted.

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