Change of Address Form 

Welfare Fund

• Loss of Time Claim Form
• Beneficiary/Dependent 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
  
  
• MSA Claim Form (in pdf format only)
• "Blue" Annual Claim Form (in pdf format only)

Sub Fund

• Sub Fund Claim Form

Pension Fund

• Benefit Application
• Recipient Electronic Funds Transfer Request
• Beneficiary/Dependent Form
• Annual Verification
• Annual W-4P Form for Federal Withholding Tax  (in pdf format only)

Retirement Fund

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

Vacation Fund

• Electronic Funds Transfer
• Fund Withdrawal Request