PEF MBP Forms for Your Convenience
Download any form of your choosing to gather what you need for any existing benefit/program offering.
Insurances
Assault, Trauma, & Captivity Claim Form
Beneficiary Designation Form
Domestic Partner Affidavit
Evidence of Insurability Form (Online form)
Evidence of Insurability Form (Paper form)
Group Term Life Enrollment Form
Group Term Life Beneficiary Designation Form
Long-Term Disability Enrollment Form
Retiree Dental Enrollment Form
Short-Term Disability Enrollment Form
Short- & Long-Term Disability & Group Term Life Enrollment Form
Short- & Long-Term Disability & Group Term Life Enrollment Form (For new members enrolling within their first 240 days of hire.)
Financial & Legal Services
Legal Defense Claim Form
Legal Defense Release Form
Voluntary Legal Service Plan Enrollment Form (Payroll/Pension)
Voluntary Legal Service Plan Enrollment Form (mail-in)
Other
Exam Fee Reimbursement
Military Leave Form
Retiree Enrollment Form & Pension Deduction Form
Retiree Renewal & Pension Deduction Form
