General

Change of Address - Active Members

Change of Address - Retirees

Healthcare and Other Benefits

National Benefit Fund

Accidental or Occupational Disease Compensation Report

Authorization for Release of Protected Health Information

Dental Claim Form

Disability Claim Form

Benefits and Pension Enrollment Form

Enrollment Change Form

Hearing Aid Form

Mail Order Prescription Form

Medical Reimbursement Medical Claim Form

Medicare Part B Reimbursement Form

Medical Proof of Change in Condition in Support of Application for Reopening Claim

Member Choice Enrollment Form

Prescription Reimbursement Form (Primary, COB, Foreign)

State of New York Workers Compensation - Employees Claim for Compensation

State of New York Workers' Compensation - Attending Doctor's Report

State of New York Workers' Compensation - Medical Proof of

 

Greater NY

Authorization for Release of Protected Health Information

Benefits and Pension Enrollment Form

Enrollment Change Form

Member Choice Enrollment Form

 

Home Care Benefit Fund

Authorization for Release of Protected Health Information

Benefits and Pension Enrollment Form

Enrollment Change Form

 

Home Health Aide Benefit Fund

Authorization for Release of Protected Health Information

Pension & Retirement

Health Care Employees Pension Fund

Application for Early or Normal Pension

Application for Pension Disability Benefit

Direct Deposit Form

Hospital Inquiry Form

Pension Beneficiary Option Form

 

Greater NY

Greater NY Application for Pension

Greater NY Pension Payment Option

Child Care & Youth Programs

Camp Application 2007

Camp Application 2007 - Spanish

Joseph Tauber Scholarship Application

Joseph Tauber Scholarship Application - Spanish