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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.
  • Payments
    • Pay Dues
    • Pay COBRA
    • Direct/Self Pay Payment
  • Training Center
  • News & Updates
  • 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.
  • Payments
    • Pay Dues
    • Pay COBRA
    • Direct/Self Pay Payment
  • Training Center
  • News & Updates
  • 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

EEOC Pledge

Download PDF

New York State DMV Forms

NYS DMV Froms

Sample Photo Release

Download PDF

Get In Touch!

1-315-699-1808

7706 Maltlage Drive
Liverpool, New York 13090

local195@rooferslocal195.com

Fund Office

1-315-699-1388

195funds@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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