If you are the member, enter the required information below and press Submit. Once your Registration is accepted you will be assigned a password to access your information on file. (You must have a census card on file before access is granted. All fields must be completed.)
I swear under penalty of perjury under the laws of the United States of America that the foregoing is true and correct. ”I am the Local Union 77 Health & Welfare Fund Member or legal representative of the Member to whom the following information pertains”