FORMS

Here's where you will find the forms you may need for HPTA benefits.

• NEW BENEFIT – Trust Reimbursement Benefit - unreimbursed medical expenses maximum amount $200.00 per year. The can be for Office visits, Co-Pays, Vision, Dental, Prescriptions, etc.
Click here to download the voucher for this. As indicated on the voucher, receipts must be dated 1/1/2008 to 12/31/2008 and completed paperwork with receipts must be sent by 2/1/2009 to:

HPTA Benefit Fund
PO Box 492
Hyde Park, NY 12538

Mail completed form to:

HPTA Benefit Trust
PO Box 492
Hyde Park, NY 12538

These forms are in "PDF" format, which means they will open up Adobe Acrobat before you can print them. This ensures that they will print correctly. If you have any trouble, try installing the proper plugin from Adobe. Because of their size and complexity, the dental forms may take a minute or two to download to your computer. Set your printer to high resolution, and it should print better than it looks on screen.

If you have any questions, concerns or problems feel free to contact the HPTA Benefit Trust at (845) 229-2617.