About the Service Employees 32BJ North Funds

Forms

The following is a list of important forms, which are available for download and print. The documents are all in PDF format, and you will need Acrobat Reader to view them. If you do not have Acrobat Reader, please click here to download and install the plug-in before downloading the form.

ENROLLMENT

• Enrollment Form
  Use this form to send your enrollment and information to the Service Employees
  32BJ North Benefit Funds.

• Change Address or Phone Number Form
  Use this form to change Personal identification information on file with the Service
  Employees 32BJ North Benefit Funds.

• Change of Personal Identification Information Form
  Use this form to change Personal identification information on file with the Service
  Employees 32BJ North Benefit Funds.

• Enroll a Dependent Form
  Use this form to send Dependent enrollment and information to the Service
  Employees 32BJ North Benefit Funds.

PENSION

• Information Request Form

• Direct Deposit Authorization Form, Instructions, and Q&A

• Pension Release of Information (ROI) Form
  Members use this form when they want a third party to receive information about the member’s Pension/SRSP benefits verbally.

HEALTH

• Health Release of Information (ROI) Form
  Members use this form when they want a third party to receive information about the member’s health benefits verbally.