Plan Forms

Change of Address Form

Participant Retirees and Beneficiaries

Beneficiary Designation Form

Participant Retiree

Automatic Bank Deposit Form

Retirees and Beneficiaries

Request for Evaluation of Reemployment

Participants and Retirees

An Explanation of Your Benefit Election Packet UPDATED

Married Participant with Recent Coverage  Married Participant without Recent Coverage  Non–Married Participant

Certificate of Complete Severance and Termination of Employment

Participant Employer

Model Provisions for Qualified Domestic Relations Order (QDRO)


Instructions and Explanation of Model QDRO Provisions


Divorce Information Release Form


Instructions for Preparing Pension Reporting Forms


Employer-Union Pension Certification Form

Local Unions and Employers

Acceptable Contract Language UPDATED

Local Unions and Employers

Notification of Production Completion Form


Notification of Job Completion Form


Past Employment Data (PED) Form

Local Unions and Employers

Construction Industries Participation Agreement

Local Unions and Employers

Request for Estimate of Potential Employer Withdrawal Liability

Local Unions Employers

Contribution Election form for "Lost Time Work"

Local Unions