In order to save our members time, we are pleased to offer our most requested forms online. All forms should be filled out completely and mailed to the
PBA Funds Office
125 Broad Street
11th Floor
New York, NY 10004-2400
Note: Some of these forms may still have the PBA's address as 40 Fulton Street. Please do NOT return the forms to that address, but to the new one, 125 Broad Street, above.
Annuity Plan Beneficiary Designation
Caremark Prescription Drug Claim
Catastrophic Benefit Claim (Active members only)
Change of Address
Dental Claim
Dependent Life Insurance Enrollment
Enrollment
Hearing Aid
HIPAA Authorization
Life Insurance Beneficiary Designation
Medical Equipment Benefit
Optical Benefit - Direct Reimbursement Claim Form
Pension Fund
Reimbursement for Real Estate Legal Services