Building Services 32BJ Benefit Funds

Forms for Members

Change in Your Personal Information

Change of Address or Phone Number Form

Use this form for changes in your address, phone number or other contact information.

Change of Personal Identification Information Form

Use this form for changes in your personal identification information.

Enrolling Your Dependents

Enrollment Form for New Members

Use this form to enroll your eligible dependents (spouse and children). See the Dependent Documentation Table and the Definition of Eligible Dependents below for information on who is an eligible dependent and the documents you are required to submit.

Enroll or Change Dependent Status Form

Use this form to add new dependents or change the status of any of your previously enrolled dependents.

Definition of Eligible Dependents

This chart is used to identify which dependents are eligible for coverage.

Dependent Documentation Table

This chart the documents required for dependents to be covered under your benefit plan

Domestic Partner

Information and forms for enrolling your same gender domestic partner.

Same-Sex Spouse

Information and forms for enrolling your same-sex spouse.

Same-sex Spouse and Domestic Partner Tax Affidavit

Same-sex Spouse and Domestic Partner Tax Affidavit.

Student Certification

Use this form to certify the full-time student status of your dependent children.