Annuity Forms

• ANNUITY ROLLOVER FORM ➢ Download PDF
• ANNUITY APPLICATION ➢ Download PDF
• ANNUITY HARDSHIP APPLICATION ➢ Download PDF
• ANNUITY SPOUSE CONSENT FORM ➢ Download PDF

Medical Forms

• 2024 Summary of Benefits and Coverage ➢ Download PDF
• Uniform Glossary ➢ Download PDF
• No Surprise Act Notice ➢ Download PDF
• HEALTH INSURANCE ENROLLMENT FORM (English)➢ Download PDF
• HEALTH INSURANCE ENROLLMENT FORM (Spanish)➢ Download PDF
• COB FORM ➢ Download PDF
• Medical Authorization Form ➢ Download PDF
• Dental Form ➢ Download PDF
• Dental Benefits and Fees ➢ Download PDF
• List of Dental Providers ➢ Download PDF
• List of Optical Providers ➢ Download PDF
• DOCTOR w-9TAXFORM ➢ Download PDF
• SUBROGATION FORM ➢ Download PDF
• TEMPORARY DISABILITY ➢ Download PDF
• CONTINUATION OF DISABILITY ➢ Download PDF

Pension Form

• PENSION ESTIMATE REQUEST ➢ Download PDF
• PENSION APPLICATION ➢ Download PDF
• DIRECT DEPOSIT ➢ Download PDF
• NON-MARRIED BENEFICIARY PENSION APPLICATION ➢ Download PDF
• APPLICATION WIDOW JOINT SURVIVOR PENSION ➢ Download PDF
• PROOF OF CONTINUED ELIGIBILITY ➢ Download PDF
• PROOF OF DEATH ➢ Download PDF
• RETIREE MEDICARE ELIGIBLE BENEFITS ➢ Download PDF
• 2023 W-4p WITHHOLDING CERTIFICATE ➢ Download PDF

Work Card

Online Work Card ➢ Go

Print Work Card ➢ Download PDF