Benefit Fund 

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Change of Address Form

Welfare Fund

• Loss of Time Claim Form
• Beneficiary/Dependent Form
• "Blue" Annual Claim Form
• Spouse Employment Form
  

Certification of Child Eligibility:

• Natural Child- Lives With Member
• Natural Child -Does Not Live With Member
• Non-Natural Child -Divorced
• Non-Natural Child - Never Married

Sub Fund

• Sub Fund Claim Form

Pension Fund

• Benefit Application
• Recipient Electronic Funds Transfer Request
• Beneficiary/Dependent Form
• Annual W-4P Form for Federal Withholding Tax ; 2008 
• Annual Verification

Retirement/Annuity Fund

As of January 1, 2007, requests for Annuity Distributions must be filed on line via the Prudential Web site at: www.prudential.com/online/retirement or by calling Prudential toll free at (877) 778-2100