SUFFOLK COUNTY MUNICIPAL EMPLOYEES BENEFIT FUND

Certificates can only be requested, not printed, from this site.

Instructions: 

After checking to see if you qualify for the benefit, select the type of certificate you would like from the pull-down menu located on line 1.  Enter the name of the person you are requesting the certificate for in the box located on lines A through J (one name per box).  Complete the member information and then select the submit button.  You will receive your certificate within 7 business days of your request.  If for some reason the Fund is not able to issue the certificate or additional information is needed,  the Fund will contact you via the phone number you have supplied.

 

(Certificate requests for Legal Service Benefits can be found by clicking here)
 

1.   I am requesting a   *certificate. 

2.  The person(s) I would like the certificate(s) for is (are):
A. *

B.
C.

    

D.
E.    F.
G.    H.
I.    J.
        

MEMBER INFORMATION
Member's Last Name *
Member's First Name *
Middle Initial
Street Address *
City  *
State *
Zip Code *
Member's E-mail
Day Telephone *
Member ID (BF#) *
 
   

* These Fields Must be Filled in for your Request to be Processed
SUBMIT ONLY ONE FORM  PER CERTIFICATE TYPE

If you have any questions please contact the Fund at 631-319-4099 or email us at Inquiry@scmebf.org. (Please put "Fund Question" in the subject line)

Keep in mind we will not be able to answer personal claim information due to the HIPAA laws. You will need to call us and have your PIN or BF# handy.

Revised: 12/21/11