4/2020 VHSL Direct Deposit opeiu 29 afl-cio
The Details – Please Read Carefully
All information on this form is required to provide entitlement to payment. The information is confidential and will be used to
process payment data from the Carpenters Vacation, Holiday and Sick Leave Trust Fund to your financial institution and/or
its agent. Failure to provide requested information may affect the processing of this form and may delay or prevent the
receipt of payments through the Direct Deposit/Electronic Funds Transfer Program.
Money deposited into incorrect accounts cannot be reissued until the funds are credited back to the Trust Fund.
Cancellation
The agreement represented by this authorization remains in effect until cancelled by the recipient by notice to the Carpenters
Vacation, Holiday and Sick Leave Trust Fund.
Changing Receiving Financial Institutions
The payee's Direct Deposit will continue to be received by the selected financial institution until the Carpenters Vacation,
Holiday and Sick Leave Trust Fund is notified by the payee that the payee wishes to change the financial institution receiving
the Direct Deposit. To effect this change, the payee will complete a new Direct Deposit Form for the newly selected financial
institution. It is recommended that the payee maintain accounts at both financial institutions until the transition is complete,
i.e. after the new financial institution receives the payee's Direct Deposit payment.
False Statements or Fraudulent Claims
Federal law provides a fine of not more than $10,000 or imprisonment for not more than five (5) years or both for presenting
a false statement or making a fraudulent claim.
*Electronic Delivery of Plan Correspondence
Electronic materials are emailed, typically in Portable Document Format (PDF), and are identical to the paper versions you
have been receiving. There is no charge for accepting materials online. You will need an internet connection and a computer
with an operating system capable of receiving, accessing, displaying and either printing or storing the electronic documents
received. You should have Adobe Reader to access PDF files. Learn more and download Adobe Reader directly from
Adobe's web site, www.adobe.com. Change your email address at any time by contacting the Fund Office at
benefitservices@carpenterfunds.com, (510) 633–0333, or Toll–Free (888) 547–2054. The change must be in writing, with
your signature and date.
Some example documents that may be sent electronically include Summary Plan Descriptions, Notice of Plan changes,
Explanation of Benefits, Benefit and Claim Department letters, Prohibited Employment Committee letters, and Fund Trustee
memos.
Your consent to electronic delivery of Plan documents is valid unless and until you withdraw your consent. You can withdraw
your consent and reset your preference to mail at any time by contacting the Fund Office at
benefitservices@carpenterfunds.com, (510) 633–0333, or Toll–Free (888) 547–2054. The change must be in writing, with
your signature and date. While e–Delivery may significantly reduce the amount of mail we send you, certain documents and
service–related correspondence will continue to be sent via U.S. Mail. Additionally, you may request a paper copy of any
documents received electronically. Unless otherwise instructed, your email address will be shared with the Carpenters
Union, Apprenticeship Training Committee and the Carpenters Trust Funds.
