Member Forms
Pension
Disability Pension Application
Pension Appeal Form
Pension Application
Direct Deposit Authorization Form
W-4P 2026
Welfare
Medicare and You 2026
Private Health Information Authorization Form
Active City Carpenters Reimbursement Claim Form 2026
Retired City Carpenters Reimbursement Claim Form 2026
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- Military Application
Required Documents for Eligible Dependents
Prescription Mail Order Form- English
Prescription Mail Order Form- Spanish
Short-Term Disability Form
Short-Term Disability Form- City Carpenters
SBC Uniform Glossary
Summary of Material Modifications- Welfare Omnibus SMM- December 2025
Summary of Material Modifications: NYCDCC Welfare Fund- Dental, Disability Pension, and Trustee Addition- June 2023
Summary of Material Modifications: NYCDCC Welfare Fund- No Surprises Act
Active City Carpenters Reimbursement Claim Form 2026
Short-Term Disability Form- City Carpenters
SBC- City Carpenters Actives 2026
Summary of Material Modifications: Changes to Retiree Welfare Coverage Eligibility Rules
SBC- Active PPO/POS 2026
Medicare-Eligible Retirees- Frequently Asked Questions
SBC- City Carpenters Retirees 2026
Retired City Carpenters Reimbursement Claim Form 2026
Glossary of Health Coverage and Medical Terms
Summary of Material Modifications: Changes to Retiree Welfare Coverage Eligibility (Officers Plan)
Other
NYCDCC Health Enrollment and Beneficiary Designation Form
Change of Address Form
Benefits Opt-In Form
Reciprocal Authorization Form 2025
Disqualifying Employment Questionnaire
Stop Payment Request Form
Rescind Reciprocal Waiver Form
Benefit Shortage Form
Empower Beneficiary Form
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.