Forms General Forms Authorization to Release Protected Health Information (PHI) Form Change of Address Form (NEW On-Line) Dependent Information Request Form Direct Deposit Form Sub application Sub Certification subrogation questionnaire Apprentice Training Benefit Application (ASF) Health & Welfare Forms Disability Application Package Disabled Dependent Coverage Application Group Life Beneficiary Designation Form Maternity Leave Benefit Statement Paternity Leave Benefit Statement Workers’ Compensation Disability Statement Pension Forms Use the forms below for Pension requests. Plan 5 – Beneficiary Designation Form UNDER AGE 59 1/2 – Plan 5 – Full Distribution Forms Package UNDER AGE 59 1/2 – Plan 5 – Partial Distribution Forms Package Plan 5 – Age 59 ½ Withdrawal Forms Package Procedures for Qualified Domestic Relations Orders Separate Interest Form Tax Forms IL W-4 (Illinois Employee Withholding) IL W-5-NR (Illinois Nonresidence Statement) IRS W-4 (Federal Employee Withholding) IRS W-4P (Federal Pension Withholding) IRS W-4S (Federal Sick Pay Withholding) IRS W-9 (Request for Taxpayer Identification)
