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Michigan Electrical Employees'
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Forms

Please Note:  In order to view and print the following forms, you must have the Adobe Acrobat Reader installed on your computer.  If you do not have the Adobe Acrobat Reader Software and wish to download it, you may do so by clicking on the image below.

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  • Beneficiary Designation Form

  • Election to Waive Surviving Spouse Benefit

  • Employee Reciprocal Authorization and Release Form

  • Change of Address Form

  • Application For Member Death Benefit Form

  • Withholding Certificate for Pension or Annuity Payments

  • Request For Application Form

  • Request for Determination of Estimated Pension Benefits Form

  • Application For Total And Permanent Disability Benefits Form

  • Qualified Domestic Relations Order

  • Application for Michigan Divorce or Annulment Record Form



  • Michigan Electrical Employees' Pension Web Site
    6525 Centurion Drive, Lansing, MI 48917-9275
    Phone 517.321.7502 • Fax 517.321.7508


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