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7706 Maltlage Drive, Liverpool, New York 13090   .:.   (315) 699-1808

7706 Maltlage Drive, Liverpool, New York 13090
(315) 699-1808

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ROOFERS LOCAL UNION #195

  • Home
  • Union
    • Executive Board & Officers
    • 2025 CBA
    • Int’l Const. & By-Laws
    • Local Const. & By-Laws
    • Signatory Contractors
    • Wages & Benefits
    • Union Roofers
  • Fund Office
    • Fund Office Forms
    • Summary Plan Booklets
    • International Pension
    • Aetna Inc. (PPO)
    • Aetna RX Benefits
    • Aetna Pharmacy
    • Aetna Provider Search
    • Federal No Surprises Act
    • NY State of Health
    • Marketplace Health Ins.
    • Uniform Glossary per DOL
    • IRS Qualifying Med. Exp.
    • Web MD
  • Payments
    • Pay Dues
    • Pay COBRA
    • Direct/Self Pay Payment
  • Training Center
  • Miscellaneous
    • Miscellaneous Forms
    • Structures
    • US Department of Labor
    • Union Plus, AFL CIO
    • International
    • NRIPP Intern’l Pension
    • CNY Labor Federation
195_Logo-all-white-sq

ROOFERS LOCAL UNION #195

  • Home
  • Union
    • Executive Board & Officers
    • 2025 CBA
    • Int’l Const. & By-Laws
    • Local Const. & By-Laws
    • Signatory Contractors
    • Wages & Benefits
    • Union Roofers
  • Fund Office
    • Fund Office Forms
    • Summary Plan Booklets
    • International Pension
    • Aetna Inc. (PPO)
    • Aetna RX Benefits
    • Aetna Pharmacy
    • Aetna Provider Search
    • Federal No Surprises Act
    • NY State of Health
    • Marketplace Health Ins.
    • Uniform Glossary per DOL
    • IRS Qualifying Med. Exp.
    • Web MD
  • Payments
    • Pay Dues
    • Pay COBRA
    • Direct/Self Pay Payment
  • Training Center
  • Miscellaneous
    • Miscellaneous Forms
    • Structures
    • US Department of Labor
    • Union Plus, AFL CIO
    • International
    • NRIPP Intern’l Pension
    • CNY Labor Federation

Miscellaneous Forms

Forms of Interest

NYS Health Care Proxy Form

Download PDF

Medical Authorization Form

Download PDF

Dues Assessment Form 6-1-2019

Download PDF

2019 Union Remittance Form

Download PDF

Sample Photo Release

Download PDF

New York State DMV Forms

NYS DMV Froms

Get In Touch!

1-315-699-1808

7706 Maltlage Drive
Liverpool, New York 13090

local195@rooferslocal195.com

Hours

Mon | 08:00 am – 04:30 pm
Tue | 08:00 am – 04:30 pm
Wed | 08:00 am – 04:30 pm
Thu | 08:00 am – 04:30 pm
Fri | 08:00 am – 03:30 pm
Sat | Closed
Sun | Closed

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