ohio laborers' fringe benefits forms

Ohio Laborers' Fringe Benefits Forms

Please click the button above to take you to the Ohio Laborers' Fringe Benefits forms.

If you have any questions or concerns about those forms, please contact Ohio Laborers' Fringe Benefits directly at 1-800-236-6437. The mailing address for Ohio Laborers' Fringe Benefits is: 800 Hillsdowne Road, Westerville, Ohio 43081

Frequently Requested Forms
Enrollment Card

The Enrollment Card has to be filled out for your health insurance and to list a beneficiary for the Life Insurance policy provided by Ohio Laborers' Fringe Benefits. Make sure include all required documents for spouse and dependents mentioned on the enrollment card.

Reciprocal Transfer Request-In 

The reciprocal transfer request-in must be filled out if your hours were submitted to another fund and you need them sent back to Ohio Laborers' Fringe Benefits.

Reciprocal Transfer Request-Out

The reciprocal transfer request-out must be filled out if your hours were submitted to Ohio Laborers' Fringe Benefits and you need them transferred to your home fund.

3457 MONTGOMERY ROAD,

CINCINNATI, OH 45207

(513) 221-5260

Local265@hotmail.com