Forms

Due to the number of funds we administer and the number of options within each fund, there are many forms you may need from time to time.

Generally, these forms may be found within the area of the website they pertain to. For your added convenience, we offer this page to serve as a clearinghouse for all forms that are available for your use. Forms are offered in alphabetical order and also by the function or purpose they serve.

Find the form you need, fill it out in its entirety and follow the directions on the form to submit it to the appropriate office.

Welfare Forms

Accident & Sickness Claim Form
Change of Address
Change in Dependent/Beneficiary (Welfare Fund life insurance benefit)
Dependent Coverage of Children to age 26
How-When-Where
PHI Release
Spousal Insurance Information
Subrogation Agreement

Pension Forms

Pension Beneficiary
Pension/Application Packet (Disability)
Pension /Application Packet (Normal/Early)
Pension/Direct Deposit Enrollment
Pension/Employment After Retirement
Pension/Federal Tax Withholding (W-4P)
Pension/State Tax Withholding
Pension/Retiree Health Coverage

Profit Sharing Forms

Profit Sharing Beneficiary Designation

SUB Forms

SUB Application

For more information

Call the Funds Office at (973) 671-6800.

Email