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Pension Forms

Enrollment applications

Lifetime Retirement Income Plan and Other Benefits Membership Form

Banking forms

Direct Deposit Agreement Form

Health Benefits Automatic Credit Reduction Form

Wire Transfer Consent Form

Tax Resources

Withholding Certificate for Pension or Annuity Payments (IRS Form W-4P)

Update Salary Information

Employee Change Form

Compensation Change Form

Compensation Change Form (Spanish) Formulario de cambio de compensación

Termination of Benefits/Employment

Termination of Benefits/Employment

Termination of Benefits/Employment (Spanish) Formulario de terminación de beneficios

Death Benefit Forms

Death Benefits for Estates

Post-Retirement Pension Death Benefits Form

Pre-Retirement Death Benefits for Spouse Form

Pre-Retirement Death Benefits for Non-Spouse Form



Brewster Forms

Brewster Annuity Plan Membership



CHAMPS Homes Forms

 CHAMPS Homes Annuity Plan Membership Application



Mt. San Antonio Gardens Forms

MSAG New Annuity Plan Membership Application



Ryder Memorial Forms

RYDER Formulario de Cambio de Compensación (Ryder – Compensation Change)

RYDER Formulario de Terminación de Beneficios

 RYDER Plan de Anualidad Formulario de Inscripción



St. Paul's Homes Forms

St. Paul's New Annuity Enrollment Form

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475 Riverside Drive, Room 1020, New York, NY 10115  •  Phone: 800.642.6543  •  Fax: 212.729.2701 •  E-mail: [email protected]