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Employer Forms

The following is a list of Employer plan forms that can be requested from the Fund Office.

Some of the plan documents may be available for online viewing in the PDF file format. Adobe's Acrobat Reader® is required.

If you do not have Adobe’s Acrobat Reader® installed on your computer, click here to go to the Adobe website to download and install the most recent version.

If you would like the document mailed to you:

  1. Select the checkbox next to the document’s name (you can select as many different documents as you like).
  2. Once your selections are made, scroll down this page and comlete your personal information.
  3. When ready to send your request, click the Submit button to automatically send the Email request to our Customer Service section.
Employer Forms
In-Mail Request
Combined Employer Report of Contributions
Monthly report of all compensated hours for all Laborers, for all Trust Funds.

Personal Information
(* Indicates a required field)

Health Plan ID
Address 1*
Address 2
ZIP/Postal Code*
Email Address
Telephone Number
TeleFAX Number


Copyright ©2003; Laborers Funds Administrative Office of Northern California, Inc. All rights reserved.
Derechos Reservados Propiedad Literaria ©2003, La Oficina Administrativa de Fondos de los Obreros del Norte de California, Inc.