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Resilient Floor Covering Pension Fund
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General Information - Forms & Notices

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Applications
  • Pension Application
  • Retirement Death Benefit Application
  • Alternate Payee Application
General Forms
  • Change of Address
  • Direct Deposit
  • Disability Certification
  • Retirement Declaration
  • Active Contractors License Letter
  • Designation of Beneficiary
General Documents & Notices

 

  • 2024 Annual Funding Notice
  • 2024 Notice of Critical Status
  • 2023 Annual Funding Notice
  • 2023 Notice of Critical Status
  • 2022 Annual Funding Notice
  • 2022 Notice of Critical Status
  • 2021 Annual Funding Notice
  • 2021 Notice of Critical Status
  • 2020 Annual Funding Notice
  • 2020 Notice of Critical Status
  • 2019 Annual Funding Notice
  • 2019 Notice of Critical Status
  • 2018 Annual Funding Notice
  • 2018 Notice of Critical Status
  • 2018 Notice of Rehabilitation Plan Schedules
  • 2017 Notice of Critical Status
  • 2017 Notice of Rehabilitation Plan Schedules
  • 2017 Report of Summary Plan Information
Tax Forms
  • IRS Form W-4P
  • State of California Form DE-4P
Employers
  • Report of Summary Plan Information – 2021 Plan Year
  • Report of Summary Plan Information – 2020 Plan Year
  • Report of Summary Plan Information – 2019 Plan Year
  • Report of Summary Plan Information – 2018 Plan Year

Website Disclaimer

This website provides a summary of the benefits available through the Fund and does not contain all information that may apply to your individual situation.  Where this page deviates from the information provided in the Plan Document, the Plan Document terms will prevail.

Plan Administrator / Trust Fund Office

The Trust Fund is administered by HS&BA and all questions and correspondence about the Trust Fund and Plan should be sent to their office.

 

Resilient Floor Covering Fund

4160 Dublin Boulevard, Suite 100
Dublin, CA 94568-7756

Phone: (800) 782-0010
Email: resilientinfo@hsba.com

Office Hours

Monday –  Friday
8:30 a.m. to 5:00 p.m. (PST)

Links

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Employee Benefits Security Administration
International Union of Painters and Allied Trades
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IUPAT District Council 16
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Northern California Plasterers Trust Funds