Applications and Forms

Application for Payment of Death Benefit (147 KB) - Updated: 6/5/2008
 Application for Payment of Death Benefit
Application for Refund of Employee Contributions (325 KB) - Updated: 6/5/2008
 Application for Refund of Employee Contributions
Disability Allowance Benefits Application WITH Notary Seal (155 KB) - Updated: 6/5/2008
 Use when submitting application by mail.
Disability Allowance Benefits Application WITHOUT Notary Seal (152 KB) - Updated: 6/5/2008
 Use only while submitting application in person at the pension's office.
Election of Normal Form of Payment (119 KB) - Updated: 6/5/2008
 Election of Normal Form of Payment
Election of Survivor OPTION A (234 KB) - Updated: 6/5/2008
 Election of Survivor OPTION A
Election of Survivor OPTION B (234 KB) - Updated: 6/5/2008
 Election of Survivor OPTION B
Explanation of tax Rules and Applicaion for Death Benefit Payments to Surviving Spouse (24 KB) - Updated: 3/2/2008
 Explanation of tax Rules and Applicaion for Death Benefit Payments to Surviving Spouse
Explanation of Tax Rules and Application for Death Benefit Payments to Non-Spouse Beneficiaries (23 KB) - Updated: 3/2/2008
 Explanation of Tax Rules and Application for Death Benefit Payments to Non-Spouse Beneficiaries
Federal income tax withholding election (193 KB) - Updated: 6/5/2008
 Federal income tax withholding election
Healthcare enrollment election form (16 KB) - Updated: 5/8/2007
 Healthcare enrollment election form
Opt Out of Retirement Plan Form (172 KB) - Updated: 6/5/2008
 Use this form to Opt Out of Retirement Plan
Retirement Allowance Application WITH Notary Seal (196 KB) - Updated: 6/5/2008
 Use when submitting application by mail.
Retirement Allowance Application WITHOUT Notary Seal (198 KB) - Updated: 6/5/2008
 Use only while submitting application in person at the pension's office.
Retirement Plan Designation or Change of Beneficiary (85 KB) - Updated: 6/5/2008
 Use this form when designating or changing beneficiary
Union dues deduction authorization (118 KB) - Updated: 6/5/2008
 Union dues deduction authorization
Waiver of deferred vested old-age retirement allowance (181 KB) - Updated: 6/5/2008
 Waiver of deferred vested old-age retirement allowance
Waiver of Deferred Vested Old-Age Retirement Allowance without Notary Seal (181 KB) - Updated: 6/5/2008
 Waiver of Deferred Vested Old-Age Retirement Allowance WITHOUT Notary Seal - use while at the Pension Office


 


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