**Please make sure your beneficiary information is current!**
RETIREMENT Application (with instructions)
Electronic Deposit Form (For Retiree Pension Payments only)
Equity to Fixed 50 years or older
Sample Qualified Domestic Relations Order
Summary of Material Modification (April 2010)
Notice of Material Modification (Termination of Employment)
Separation of Employment Distribution Application
If not indicated, all forms should be sent to:
United Administrative Services
c/o IBEW Local 617 Pension Trust Fund
PO BOX 5057
San Jose, CA 95150-5057