• SASMI Health Premium Direct Deposit Form

  • SASMI HCRA Application

  • SASMI Severance Benefit Application

  • SASMI 90 Day Advance Supplemental Unemployment Application

  • SASMI Unemployment/Underemployment Benefit Application

  • SASMI Production-Industrial Severance Benefit Application

  • SASMI Production-Industrial Supplemental Unemployment Benefit Application

  • SASMI Production-Industrial Disability Benefit Application

Health & Welfare Benefits

5 Hot Metal Street, Ste 200
Pittsburgh, PA  15203
877-401-6820 – Toll Free
412-713-7342 – Local
412-431-4067 – Fax

Jennifer Collins

Assistant Benefit Administrator
jac@cdsadministrators.com

Luke Gabig
Account Manager
lag@cdsadministrators.com

 

For other pension or insurance related forms, go to the Member Portal.

Copyright 2017. Sheet Metal Workers Local 12. All rights reserved.

1200 Gulf Lab Road

Pittsburgh, PA 15238

(412) 828-5300

Please contact the Financial Office at (412) 828-5300 for the following SASMI forms:

Sheet Metal Workers

Local Union 12 - Pittsburgh, PA