If you are currently receiving retirement benefits with the Ten Year Certain option, and wish to change your beneficiary, please complete this form, and return it to the Pension Fund Office.

Please Note: If you die without naming a beneficiary, any benefits payable will be paid to the first of those who survive you in the following order: your spouse; your surviving children and descendants of your deceased children; your parents; your brothers and sisters. If none of these survive you, any benefits payable will be paid to the administrator or executor of your estate, or according to Wisconsin statutes, at the discretion of the Trustees.

If your spouse is named as your Beneficiary, and you divorce, the beneficiary designation is cancelled on the date of divorce. If you want your ex-spouse to remain as your beneficiary, a new Pension Fund Registration Form for Beneficiary Designation must be completed after the divorce to re-designate your ex-spouse as your beneficiary.

If we are currently transferring your pension contributions to another pension fund, and you would like to stop that transfer, fill out this form and return it to the Pension Fund Office.

For detailed Reciprocity information, please visit the Reciprocity page.

To change your State of Wisconsin Income Tax Withholding or have Wisconsin Income Tax withheld from your monthly benefit, please complete this form and return it to the Pension Fund Office.

If you are single, the left side of this form must be completed. If you are single and do not select the Lifetime Only option, the right side must also be completed. Your signatures must be witnessed by a Pension Fund Benefit Representative, or notarized, if signed elsewhere.

In certain circumstances, your physician may also need to complete the following History of Medical Condition Report.

Complete this form to change or correct your mailing address, and return it to the Pension Fund Office.

Click here to download your 1099R Form.
(Registration Required)