Case Manager and Employer Resources

Back to Home Print This Page Email This Page

Resources for Case Managers supporting IP clients

Thank you for your interest in ordering forms and materials from SEIU 775. This page includes links to download several common documents, and an online form to order bulk copies by mail.

To order copies by mail, please fill out the form below on this page. We'll be happy to send you what you need.

Please note that choosing the correct IP insurance forms for your client is dependent on his or her zip code; please contact us at 1-866-371-3200, or email msc@seiu775.org for assistance. Of course, feel free to contact us about any other questions or problems

To download any of these documents and print them out yourself, simply click on the title to load a printable PDF:


 thb-memform-english
IP SEIU Membership form (English)

 thb-memform-korean
IP SEIU Membership form (Korean)

 thb-memform-russian
IP SEIU Membership form (Russian)  

thb-memform-spanish
IP SEIU Membership form (Spanish)

 IP Contract info
IP Contract Summary 07-09
thb-IPbenefits-summary
IP Benefits Summary
 thb-Dentalsummary07
IP Dental Benefits Summary
 thb-votereg
Washington State Voter Reg. form
(English; other languages available here)


Case Manager Resources

Use this form to order printed copies.

 

 

 

 

 

 

 

 

 *
Mailing address

*

 *

 *