LOCAL 1060

Communications Workers of America                          AFL-CIO, CLC

595 Somerset Street  North Plainfield, NJ 07060-4908 (908) 561.8806

CHANGE OF ADDRESS FORM

AETNA DENTAL FORM

AETNA MEDICAL FORM

AETNA VISION FORM

EYE MED VISION FORM

BENEFICIARY DESIGNATION

MEDICAL RECORDS RELEASE AUTHORIZATION