Use this for to initiate withholding of UMPIP personal contributions on ether a before tax or after tax basis. The original should be given to your treasurer and a copy sent to the Conference Business Office.
Complete this form to initially enroll in the Conference Dental Plan or to make changes to who is covered under the plan.
This form can be downloaded to your computer and saved. Once completed, the form can be saved and printed to be sent with your check. For churches utilizing online banking, after the form is saved, email completed form to tcleary@pen-del.org.
This form can be downloaded to your computer and saved. Once completed, the form can be saved and printed to be sent with your check. For churches utilizing online banking, after the form is saved, email completed form to tcleary@pen-del.org.