Applications and Forms

Normal, Early, and Deferred-Vested Retirement Application
RP102

Retirement Allowance Application

Apply for Normal retirement (age 65+) or Early retirement (under 65). Required for all eligible active participants.

RP103

Deferred Vested Old Age Retirement

For vested participants with 10+ years of service electing a deferred pension at age 65.

RP117

Election of Normal Form of Payment

Used by a retiring participant to explicitly reject a survivorship option.

RP120

Election of Survivor Option A or B

Provides a monthly benefit for the life of the surviving spouse upon the death of the retiree.

Disability Allowance Application
RP108

Disability Allowance Application

For eligible active participants with 5-10 years of service who have received 26 weeks of Sickness Insurance.

Pre-Retirement Surviving Spouse Allowance
RP119

Pre-Surviving Spouse Benefit Allowance

For the spouse of an employee who died during employment after becoming eligible to retire.

Survivorship Allowance Application
RP111

Application for Payment of Death Benefit

Used by a designated beneficiary of a retiree entitled to the payment of the death benefit.

RP113

Beneficiary Verification Form

Required to verify that you are the designated beneficiary for plan benefits.

Refund of Contribution Application
RP112

Refund of Employee Contributions

Used by participants who resign or are terminated and are entitled to a refund of their contributions.

Bank, Tax and Union Related Forms
W-4P

Federal Income Tax Withholding

Use this Federal W-4P to tell payers the correct amount of federal income tax to withhold.

RP115

Change of Direct Deposit Authorization

Required to establish or change a direct deposit. A voided check or bank form is required.

RP241

Union 241 Fees Deduction Authorization

Setup an automatic monthly deduction from your retirement benefits for union fees.

RP308

Union 308 Fees Deduction Authorization

Setup an automatic monthly deduction from your retirement benefits for union fees.

Other Forms
RP114

Participant's Change of Address

Use this form to notify the Pension Plan Office of any address changes.

RP118

Voluntary Opt-Out of Retirement Plan

Choose to voluntarily terminate participation. Only available to non-bargained employees.

QDRO

Qualified Domestic Relations Order Outline

Review the QDRO Guidelines for the Retirement Plan for CTA Employees.

RP109

QDRO Benefit Allowance Application

Qualified Domestic Relations Order (QDRO) Benefit Allowance Application form.

RP116

Change of Beneficiary Designation

Use this application to designate or change the beneficiary of your death benefits.

RHCT211

Election of Health Reimbursement Account

This form must be completed at the time of separation from service at the CTA.

RHCT218

RHCT Statement of Understanding

Explains how Premium Service and Eligibility Service are determined for healthcare costs.