Forms Download

Download Forms

The following forms are available for download, print, complete and send to the Central Pension Fund. Please follow the instructions above to save the forms to your computer. 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

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