Documents and Forms

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Teamsters Lobbying Efforts For Pension Reform

Join Teamsters from around the country in lobbying efforts for pension reform. Follow the link and instructions to make sure your voice is heard. Click here for instructions

Save Our Pension Request For Support From Your Senator/Representative

Request For Support Letter

Help Save Our Pension - Pension Request For Relief Letters

Retiree Request for Relief Letters

Retiree Letter to Congressperson

Retiree Letter to Senator Schumer

Retiree Letter to Senator Gillibrand

Out of NY State Retiree Letter to Senator

Active Request for Relief Letters

Active Letter to Congressperson

Active Letter to Senator Schumer

Active Letter to Senator Gillibrand


September 2013

September 2012

September 2011

September 2010

July 2009

June 2008

June 2007

Miscellaneous Forms

Enrollment/Beneficiary Designation Form

Change Of Address

Plan Documents

2013 Pension Plan 2nd Amendment

Plan A Summary Plan Document

Plan C Summary Plan Document

Plan G Summary Plan Document

Plan H Summary Plan Document

SBC Glossary

2017-2018 Plan A Summary of Benefits and Coverage

2017-2018 Plan C Summary of Benefits and Coverage

2017-2018 Plan G Summary of Benefits and Coverage

2017-2018 Plan H Summary of Benefits and Coverage

Pension Forms

Pension Application No Medical

W4 Withholding Federal Income Tax

Pension Direct Deposit

Request For Social Security Earnings

H&W Forms

HIPAA Privacy Statement

HIPAA Medical Athorization