Remittance Report

Use the Remittance Report to calculate and remit the amount due to the Trust Fund and Health & Welfare and Pension Plans.

Information Needed to Complete the Form
In addition to the employer information, the following information is needed to complete this form:

• Employee information,
• Local Union affiliation,
• Pension Hours,
• Health Benefit Plan membership,
• Regular dues, working dues, admin dues and training fund amounts, and
• Calculations to determine the total amount remittable by the employer.

Notes
Questions on completing the form should be directed to the Plan Administrator.

Completed forms should be sent to the Plan Administrator.

Plan Administration Office

45 McIntosh Drive
Markham, ON L3R 8C7

Phone 1-800-263-3564
Fax 905-946-9700
Email: contributions@millworkersuniforbenefits.org