Teamsters Joint Council No. 83 of Virginia

Health & Welfare and Pension Funds

Pension Forms

Click on any of the forms below to download it. The Fund accepts all forms via mail, email or fax. If you do not have a PDF viewer, you may click on the Adobe icon to download Adobe Reader.

» Beneficiary Designation Form

» Certification of Marital Status

» Change of Address Form

» Contingent Annuitant Election Upon Retirement Form

» Contingent Annuitant Election Pre-Retirement Form

» Early Vested Benefit Election/Rejection Form

» Early CA Survivor Benefit Election/Rejection Form

» Early Survivor Benefit Election/Rejection Form

» Electronic Funds Transfer (EFT) Form

» Joint and Survivor Election Form

» Joint and Survivor Rejection Form

» Pension Application

» Pension Estimate Request Form

» Pension Fund Signature Card

» Post-Retirement Employment Rules and Signature Form

» Retiree Coverage Insurance Inquiry

» VA-4P State Tax Withholding Form

» W-4P Federal Tax Withholding Form

8814 Fargo Road Suite 200, Richmond, VA 23229
Ph: (804) 282-3131 | Toll Free: (800) 852-0806

The information on this website is intended only to provide highlights of the benefits available under the Teamsters Joint Council No. 83 of Virginia Health & Welfare and Pension Funds. Complete information about the Plan is contained in the governing Plan documents. In the event of any inconsistency between the information on this website and the official Plan documents, the terms of the official Plan documents will govern. The Board of Trustees reserves the right to amend, modify, or terminate all or part of the Plan at any time.