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Board of Trustees
Local Union Jurisdiction
Pension Benefits Booklet
Click on the Links Below for Forms
(All Forms Must Be Completed Under Each Section Selected)
Must Download with Adobe Acrobat 8 or Higher
RETIREMENT FORMS
Application for Benefits
Proof of Age
Authorization Agreement for Automatic Deposits
Federal Tax Form
State of Indiana, Form WH-4P
Eligibility for Benefits
Consequences of Failing to Defer Receipt of a Distribution
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DISABILITY FORMS
Authorization to Release Medical Information
Physical Form
DEATH FORMS
Eligible Rollover Distribution Election Form
Transfer of Personal Property
QDRO FORMS
QDRO Application for Benefits
hState of Indiana, Form WH-4P