Please choose a form below to download.
Notice to Return to Work & Request for Resumption of Benefits
These forms are for retirees who wish to return to work.
Prescription Reimbursement Claim Form
Please fill this form out to file a prescription reimbursement claim.
Address Change Form for Fringe Benefits
Please fill this form out to file a change of address for fringe benefits.
Transfer Authorization form for Fringe Benefits
Please fill out this form to authorize transfer of fringe benefits.
Health Beneficiary Designation Form
Please fill this form out to file a change of health benefits beneficiary designation.
Vacation Beneficiary Designation Form
Please fill this form out to file a change of vacation benefits beneficiary designation.
Please choose a form below to download.
Change of Address Form
Please complete this form to report a change in mailing address, and send it to the address provided in the form.
Direct Deposit Form
Please complete this form to request Direct Deposit, and send it to the address provided in the form.
Notice to Return to Work & Request for Resumption of Benefits
These forms are for retirees who wish to return to work.
Tax Withholding Certificate for Pension or Annuity Payments
This is form W-4P from the Internal Revenue Service.
Money Follows Man Reciprocity Form
This form is to Request Transfer of Contributions to Home Local Pension Fund.
Beneficiary Designation Form
Please fill this form out to file a change of beneficiary designation.