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Enrollment / Change Application FOR RETIRED EMPLOYEES EFFECTIVE ON OR AFTER SEPTEMBER 1, 2016, Please complete electronically and/or print clearly and make sure to sign and submit this form to your

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What is for retired employees?

Retired employees may receive pension benefits.

Who is required to file for retired employees?

Employers or companies providing pension benefits to retired employees are required to file.

How to fill out for retired employees?

The form for retired employees can typically be filled out online or by mail.

What is the purpose of for retired employees?

The purpose is to report pension benefits provided to retired employees.

What information must be reported on for retired employees?

Information such as the amount of pension benefits, the recipient's name, and the employer's details must be reported.

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