Pension Forms
Following are links to Pension Fund forms.
Change of Address Form
Participant Pension Application:
Please use this form to apply for a pension benefit. Before applying, you should contact the Fund Office to receive a pension benefit projection that compares what your benefit would be depending on the benefit form you select (i.e., 10-year guarantee; 50%, 75% or 100% Joint and Survivor).
QDRO Application: Please use this form to apply for benefits under a Qualified Domestic Relations Order.
Retiree Work Report – AGE 60-64 : If you are currently retired and engage in work within the jurisdiction of Local No. One, you must report that work on this form if you are age 60 to 64 & 11 months.
Retiree Work Report – AGE 65: If you are currently retired and engage in work within the jurisdiction of Local No. One, you must report that work on this form if you are age 65 and older.
Pension Beneficiary Designation Form
Pension Non-Spouse Beneficiary
Beneficiary Applications:
Survivor Benefit Application: Please use this form to apply for pension benefits if you are the beneficiary of a Joint & Survivor pension.
10-Year Guarantee Application: Please use this form if you are the beneficiary of a 10-Year Guarantee pension.
Vested Death Benefit Application: Please use this form to apply for a Death Benefit.
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