Pension Application

Change of Address Form

NYCDCC Health Enrollment and Beneficiary Designation Form

General Member Forms

Pension

Disability Pension Application

Direct Deposit Authorization Form

Pension Appeal Form

Pension Application

W-4P 2025

Welfare

Medicare and You 2025

Active City Carpenters Reimbursement Claim Form 2025

Retired City Carpenters Reimbursement Claim Form 2025

Active City Carpenters Reimbursement Claim Form 2026

Retired City Carpenters Reimbursement Claim Form 2026

Private Health Information Authorization Form

Dental Claim Form- Empire

Provider Nomination Form- Dental

Independence Administrators- Coordination of Benefits

Independence Administrators- Medical Claim Form

Paid Family Leave- Bonding Application

Paid Family Leave- Family Member Application

Paid Family Leave- Self Covid-19 Related Application

Paid Family Leave- Dependent Covid-19 Related Application

Paid Family Leave- Military Application

Required Documents for Eligible Dependents

Short-Term Disability Form

Short-Term Disability Form- City Carpenters

Prescription Mail Order Form- English

Prescription Mail Order Form- Spanish

SBC Uniform Glossary

Other

NYCDCC Health Enrollment and Beneficiary Designation Form

Stop Payment Request Form

Change of Address Form

Authorization-to-Rescind-Reciprocal-Waiver

Benefit Shortage Form

Benefits Opt In Form

Disqualifying Employment Questionnaire

Reciprocal Authorization Form

Empower Beneficiary Form

NYCDCC Member Portal User Guide

To request any forms or documents that you do not see available on the website, please call the Benefit Funds Call Center at (800) 529-FUND (3863) or (212) 366-7373.