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Monthly Remittance Form

  • Monthly Remittance Form   (Excel Spreadsheet)

  • Instructions for the Monthly Remittance Form   (Word Document)

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  • LDI Prescription Reimbursement Form

  • Monthly Remittance Form

  • Instructions for the Monthly Remittance Form

  • Dental Claim Form

  • Vision Claim Form

  • Health Claim Form

  • Application for Disability Hours

  • Yearly Coordination of Benefits Form

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    Greater Kansas City Laborers' Fringe Benefit Funds
    6405 Metcalf, Suite 200
    Overland Park, Kansas  66202
    913.236.5490 Phone
    913.236.5499 Fax