Benefit Funds Information

Some Usefull Forms

Davis Vision Reimbursement Form
Updated September 30, 2021

Delta Dental Claim Form
Updated September 30, 2021

Delta Dental Fee Schedule
Updated September 30, 2021

IATSE NBF Beneficiary Designation
Updated September 30, 2021

IATSE NBF Weekly Disability Form
Updated September 30, 2021

Pension Application
Updated April 20, 2011

Self Insured Dental(SIDs) Claim Form
Updated September 30, 2021

Page Last Updated: Jun 01, 2022 (13:00:40)

Theatrical Stage Employes Local No.4, IATSE

2917 Glenwood Rd
Brooklyn, New York 11210
(718) 252-8777