Benefit Forms
Health Benefit Forms
Caremark Order Form (PDF)Caremark Prescription Reimbursement Form (PDF)
CIGNA Claim Form (PDF)
Vision Care Claim Form (PDF)
Vision Provider List (PDF)
Metlife Dental Form
Financial Forms
Direct Deposit (PDF)
W-4P – Withholding Certificate for Pension or Annuity Payments (PDF)
NY State Tax Withholding Explanation and Election Form (PDF)
W-2 or 1099-R (PDF)
Summary Annual Report
Pension Information
Annual Funding Notice – 2015 Plan Year (PDF)