Below are forms that you may need upon initial enrollment into the Plan or any change to your family status, such as the birth of a child, marriage or divorce, or death.

Annual Claim Form 2019

PHI Form

Prudential Enrollment Form

401(k) Voluntary Wage Deduction Form

Welfare Fund Enrollment Form


The forms below are only accessible by the member and require you to login to your Member Dashboard. Open the Beneficiary Forms tab on the left and login.

Pension Beneficiary Form

Vacation Fund Beneficiary Form

401(k) Beneficiary Selection Form

SASMI Severence Beneficiary Form

Welfare Beneficiary Form