Forms for Pension and Retirement

General

1099 Correction Form
Change of Address – Retirees
Parent and Guardian Affidavit
Request for Pension Estimate
Request for Social Security Earnings

Health Care Employees Pension Fund

1099 Correction Form
Affidavit for Unlocatable Spouse
Application for Normal or Early Pension
Application for Pension Disability Benefit
Authorization to Obtain Earnings Data from the Social Security Administration
Direct Deposit Form
Enrollment Form – Pension Fund Only
Pension Option and Beneficiary Form
Request for Pension Estimate
Statement of Claim for Medicare Part B Reimbursement Form
Statement of Claim for Medicare Part D Reimbursement Form

Former 144 Hospital Division

1099 Correction Form
Application for Normal, Early Pension, or Disability
Pension Option and Beneficiary Form – Basic Deferred Pension

Greater New York

1099 Correction Form
Affidavit for Unlocatable Spouse
Application for Normal, Early Pension, or Disability
Authorization to Obtain Earnings Data from the Social Security Administration
Direct Deposit Form
Pension Option and Beneficiary Form
Request for Pension Estimate

Home Care

1099 Correction Form
Affidavit for Unlocatable Spouse
Agency Inquiry Form
Application for Normal, Early Pension or Disability
Authorization to Obtain Earnings Data from the Social Security Administration
Beneficiary Form for Single Working Members
Direct Deposit Form
Request for Pension Estimate
Pension Option and Beneficiary Form
Proof of Age Form

Former Home Care Industry Pension Fund

Pension Option and Beneficiary Form
Small Annuity Cash Out