Download Forms

Member Forms

Pensioner Forms

• Tax Election Form
• Direct Deposit Form (BROKEN LINK)

Miscellaneous Forms

• Authorization for Direct Deposit of Vacation Check
• Covid Related Distribution Form
• Patrick Finley Scholarship Application
• Proof of Disability Form
• Vision Form
• Beneficiary Designation Form
• Employee Proof of Death Form

Employer Forms

All employers must complete and sign the fund office remittance reports or your benefits will be returned

Wage Increase Forms

• ACCNY rates effective July 1, 2024
• Cement League & Other Associations Wage Increase for July 1, 2024
• Wage increase for Independent Contractors, effective July 1, 2024
• Upstate Independent Rates, Effective 7/1/2024
• Upstate Association Rates, Effective 7/1/2024
• Cement League & Other Associations Wage Increase for July 1, 2023
• Wage increase for Independent Contractors, effective July 1, 2023
• Wage increase for Independent Contractors, effective July 1, 2022
• Wage increase CL & other Assoc. 7-1-22
• Cement League Contractors & Other Associations Remittance Report for Journeyperson, Effective 7/1/22
• Independent Contractor Remittance Report for Journeyperson, Effective 7/1/22
• Cement League & Other Associations Wage Increase for July 1, 2022
• Independent Contractors Wage Increase for 7/1/22
• ACCNY rates effective October 1, 2020
• Independent Contractors Wage Increase for 10/01/2020
• Cement League Wage Increase for 10/01/2020
• Independent Contractors Wage Increase for 07/01/2018
• Cement League Wage Increase for 07/01/2018
• Independent Contractors Wage Increase for 07/01/2017
• Cement League Wage Increase for 07/01/2017
• Independent Contractors Wage Increase for 07/01/2016
• Cement League Wage Increase for 07/01/2016

Independent Contractors Contribution Forms

• Independent Contractors Contribution Form for (07/01/2007)
• Independent Contractors Contribution Form for (07/01/2008)
• Independent Contractors Contribution Form for (07/01/2010)
• Independent Contractors Contribution Form for (07/01/2011)
• Independent Contractors Contribution Form for (07/01/2012)
• Independent Contractors Contribution Form for (07/01/2014)
• Independent Contractors Contribution Form for (10/01/2015)

Independent Contractors Apprenticeship Forms

• Independent Contractors Apprenticeship Form (07/01/2014)
• Independent Contractors Apprenticeship Rates for (07/01/2008)
• Independent Contractors Apprenticeship Rates for (07/01/2011)
• Independent Contractors Apprenticeship Rates for (07/01/2012)
• Independent Contractors Apprenticeship Rates for (07/01/2013)
• Independent Contractors Apprenticeship Rates for (07/01/2014)
• Independent Contractors Apprenticeship Rates for (10/01/2015)
• Independent Contractors Apprenticeship Rates for (07/01/2018)

Independent Contractors Wage Cards

• Independent Contractors Wage Card for (07/01/2008)
• Independent Contractors Wage Card for (07/01/2010)
• Independent Contractors Wage Card for (07/01/2011)
• Independent Contractors Wage Card for (07/01/2012)
• Independent Contractors Wage Card for (07/01/2013)
• Independent Contractors Wage Card for (07/01/2014)
• Independent Contractors Wage Card for (10/01/2015)

Cement League & Other Associated Contractors Contribution Forms

• Cement League & Other Associated Contractors Contribution Form for (07/01/2007)
• Cement League & Other Associated Contractors Contribution Form for (07/01/2008)
• Cement League & Other Associated Contractors Contribution Form for (07/01/2010)
• Cement League & Other Associated Contractors Contribution Form for (07/01/2011)
• Cement League & Other Associated Contractors Contribution Form for (07/01/2012)
• Cement League & Other Associated Contractors Contribution Form for (07/01/2014)
• Cement League & Other Associated Contractors Contribution Form for (10/01/2015)

Cement League & Other Associated Contractors Apprenticeship Forms

• Cement League & Other Associated Contractors Apprenticeship Form for (07/01/2014)
• Cement League & Other Associated Contractors Apprenticeship Rates for (07/01/2008)
• Cement League & Other Associated Contractors Apprenticeship Rates for (07/01/2010)
• Cement League & Other Associated Contractors Apprenticeship Rates for (07/01/2011)
• Cement League & Other Associated Contractors Apprenticeship Rates for (07/01/2012)
• Cement League & Other Associated Contractors Apprenticeship Rates for (07/01/2013)
• Cement League & Other Associated Contractors Apprenticeship Rates for (07/01/2014)
• Cement League & Other Associated Contractors Apprenticeship Rates for (10/01/2015)
• Cement League & Other Associated Contractors Apprenticeship Rates for (07/01/2018)

Cement League & Other Associated Contractors Wage Cards

• Cement League & Other Associated Contractors Wage Card for (07/01/2008)
• Cement League & Other Associated Contractors Wage Card for (07/01/2010)
• Cement League & Other Associated Contractors Wage Card for (07/01/2011)
• Cement League & Other Associated Contractors Wage Card for (07/01/2012)
• Cement League & Other Associated Contractors Wage Card for (07/01/2013)
• Cement League & Other Associated Contractors Wage Card for (07/01/2014)
• Cement League & Other Associated Contractors Wage Card for (10/01/2015)

Cement Masons Joint Apprenticeship Program Wage Rates

• Cement Masons Joint Apprenticeship Program Wage Rates Effective 10/01/2015

Provisional Contractors Agreement Contribution Form

• Provisional Contractors Agreement Contribution Form Effective 10/01/2015