Download Forms


The following forms are available for download, complete, print and send to Central Pension Fund. Please follow the instructions above. Scroll down the page for more forms. 
Thank you.

Participant Forms - please click on the form name to open the form on your screen.

Affidavit in Support of Application for Disability Benefits
Appeal of Denial
Application for Benefits (Form)
Application for Benefits (Instructions)
Application for Surviving Spouse
Authorization Form to Release Employment Information
Basic Data Form
Change of Address Form
Contingent Annuitant Election
Designation of Beneficiary
Designation of Beneficiary Alternate Payee
Direct Deposit Authorization
Disability Conversion Application
Disability Statement
Inability to Obtain Spouse's Consent to Waiver of Qualified Joint & Survivor Annuity
Past Service Proofs
Statement of Claim for Death Benefits
Tax Withholding
Pipeline Contribution Transfer Authorization
Money Follows Man Reciprocity

Employer Reporting Forms - please click on the form name to open the form on your screen.

Note:  Central Pension Fund no longer administers the IUOE Pipeline Health & Welfare Fund or the IUOE National Pipeline Training Fund.

Instructions for Reporting Employer Contributions
Remittance Form with Report of Contributions
Employer Report of Contributions
CPF Participating Agreement



In order to process your form,
please submit all participant forms to:

Participant Records Department
Central Pension Fund
4115 Chesapeake Street, N.W.
Washington D.C. 20016

Forms from Employers should be sent to:

Employer Records Department
Central Pension Fund
4115 Chesapeake Street, N.W.
Washington D.C. 20016


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4115 Chesapeake St., N.W. · Washington, DC 20016 · (202) 362-1000