Serving United Mine Workers of America retirees for over 65 years
Applications Pension Application
Surviving Spouse / Death Benefit Application Health Benefit Application Forms
Certificate of Retirement Classified Signatory Service (Union Position)
Certificate of Retirement Non-Classified / Non-Signatory Service (Non-Union Position)
Certificate of Layoff (Layoff from Union Position)
Change of Address Tax Withholding Beneficiary Designation Direct Deposit Enrollment Request to Discontinue Direct Deposit Request for withdrawal of union dues from Pension check
Request for Hearing
Death Benefit Tax Election for an Estate or Organization Death Benefits Tax Election for Applicants Who Are NOT an Estate or Organization
Other Information
Right to Appeal Pamphlet Guidelines for Awarding Pension Credit re: Back Pay QDRO Procedures
UMWA 1974 Pension Trust Sample QDRO – Separate Interest
UMWA 1974 Pension Trust Sample QDRO – Shared Payment