Downloadable Files for Retirees

Before downloading a form, please choose the appropriate Fund.

This page contains links to PDF versions of our most frequently-requested forms. To view these forms, you need a PDF reader like Adobe's free program called Reader.

To obtain this program, go here.

To download any of the forms to your computer, right-click on the link for the form and choose Save Target As...

To open any of the forms listed on this page, click on the link.

Drug Benefit Fund

• Retiree Health Increase
• 2012 Retiree Health Plan Summary
• Indemnity Plan - PPOC Podiatry Plan Providers
• Student Certification/Recess/Disabled Student Forms
• Prescription Solutions Directory of Participating Pharmacies
• Family Information Form
• Retiree Enrollment Form
• Beneficiary Designation Form
• PHI Authorization Form

Drug Pension Trust Fund

• Drug Pension Summary of Material Modifications
• Drug Pension Summary of Suspension of Benefit Rules
• Drug Pension Change of Address Form
• Drug Pension Application For Retirement
• DP Employment Questionnaire/Status Request Form
• DP Direct Deposit Form

General Sales Pension Trust Fund

• General Sales Summary of Material Modifications
• General Sales Request for Application Form
• General Sales Change of Address Form
• GS Employment Questionnaire/Status Request Form
• GS Direct Deposit Form