Forms and Documents Download Page

GENERAL BENEFITS FORMS

Beneficiary Designation Form (Active Member)
Benefit Funds' Enrollment Form (Active Member)
Change of Address (Contact Information) Form (Active Participant)
Name Change Request Form
Common-Law Spouse Marriage Affidavit

PENSIONER FORMS

Change of Address Form (Pensioner/Retiree)
Direct Deposit Form
Tax Withholding Form W4P
2020 Monthly Tax Withholding Tables

PENSION AND ANNUITY FORMS 

Application for Distribution of Annuity Benefits (Only)
Application for Distribution of Pension and Annuity Benefits
Application for Death of Active Member (Pension and Annuity)
IRS Section 402 Notice - Rollover Options
IRS Section 402 Notice - Rollover Options (Spanish-Spain)
IRS Section 402 Notice - Rollover Options (Spanish-Mexico)

HEALTHCARE FORMS

Authorization for Release of Protected Health Information (Heavy and Highway)
Authorization for Release of Protected Health Information (Building and Construction)

SUMMARY PLAN DESCRIPTIONS (BENEFIT DESCRIPTION)

PREPAID LEGAL
Benefits Description Prepaid Legal Services Plan
Summary of Material Modifications for Prepaid Legal effective October 1, 2018

LDC CONSTRUCTION INDUSTRY PENSION FUND
Benefits Description DC Construction Industry Pension Fund

LDC BUILDING AND CONSTRUCTION HEALTH AND WELFARE FUND
Benefits Description LDC Building and Construction Health and Welfare Fund
Summary of Material Modifications for Building and Construction Welfare effective May 1, 2018

LDC HEAVY AND HIGHWAY CONSTRUCTION HEALTH AND WELFARE FUND
Benefits Description LDC Heavy and Highway Health and Welfare Fund