Forms for Participants

As a Participant in the United Association National Pension Fund, we want to provide you with easy access to the documents and forms you may need.

Below you will find those items that are most commonly requested by our Participants:

UANPF Application Package

Once you have opened the form in your browser, you may fill the text in online, print, sign, date and mail to the address listed below. If you are filling out the form online using Adobe Acrobat, it is not necessary to include dashes ( - ) in the SSN fields, but it is necessary to include slashes ( / ) in the date fields.

Please note: This form is only applicable to participants. If you are a surviving spouse or an alternate payee, you must request the appropriate application form from the Fund office.

Beneficiary Designation Form

Once you have opened the form in your browser, you may fill the text in online, print, sign, date and mail to the address listed below.

Once you have opened the form in your browser, you may fill the text in online, but you must print the form to sign, date and mail to the UANPF Office, Attn: Accounting Department.

Change of Address

You can submit a change of address online!

Employment History Form

Once you open the form in your browser, print a copy, fill in the appropriate information, sign, date and mail to the address listed below.

Direct Deposit Authorization Form

Important: You should only complete and submit this form if you are already receiving a benefit. When you apply for a pension, this form will be sent to you with the other documents that you will need to complete in order to begin payment.

Once you have opened the form in your browser, you may fill the text in online, but you must print the form to sign and date. The bottom section of the form must be completed by the joint account holder (if applicable) and be accompanied by a pre-printed voided check or deposit slip. The completed form can be mailed to the UANPF Office, Attn: Accounting Department or for a more prompt processing, the completed form can be faxed to 703-519-4487.

W-4P Form

Important: Only complete and submit this form if you are already receiving a benefit. When you apply for a pension, this form will be sent to you with the other documents that you will need to complete in order to begin payment.

Once you open the form in your browser, print a copy, fill in the appropriate information, sign, date and mail to the address listed below.

VA-4P Form

Important: You should only complete and submit this form if you are already receiving a benefit. When you apply for a pension, this form will be sent to you with the other documents that you will need to complete in order to begin payment.

Once you open the form in your browser, print a copy, fill in the appropriate information, sign, date and mail to the address listed below.

This Form should only be used if you live in the State of Virginia (VA).

Direct Deposit Authorization Form

Important: You should only complete and submit this form if you are already receiving a benefit. When you apply for a pension, this form will be sent to you with the other documents that you will need to complete in order to begin payment.

Once you have opened the form in your browser, you may fill the text in online, but you must print the form to sign and date. The bottom section of the form must be completed by the joint account holder (if applicable) and be accompanied by a pre-printed voided check or deposit slip. The completed form can be mailed to the UANPF Office, Attn: Accounting Department or for a more prompt processing, the completed form can be faxed to 703-519-4487.