How to Obtain the Benefit

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The Welfare Fund’s Multi-Benefit Claim Form is used for the Prosthetic Appliance Benefit.This form is available at the Welfare Fund office and for your convenience claim forms are often available through the Union delegate at your work location or at the Union’s website at To apply for the benefit, have the physician complete the appropriate portion of the claim form (or you may attach the physician’s prescription to the claim form). In addition, you must attach the original copy of the bill for the prosthetic appliance to the claim form.

Social Service Employees Union Local 371
817 Broadway, New York, NY 10003