Downloads   Order By: [Date] [Hits] [Name] [Ascendant] Central States RETIREEE/PENSION Forms New Files! PENSION APPLICATION - CENTRAL STATES Central States Pension Application Form 07/16/2021 0.35 MB Hits: 6 DIRECT DEPOSIT - Central States PENSION CHECK Here's the form you need to change your direct deposit information... 07/16/2021 0.11 MB Hits: Reemployment Rules - Central States Pension Rules about where retirees can/cannot go to work. 07/16/2021 0.03 MB Hits: Reemployment Questionnaire - Central States For all our retirees who want to go back to work... 07/16/2021 0.24 MB Hits: Central States/TEAMCARE Insurance Forms New Files! Short Term Disability Continuation Form #2 This is the form for updates from your doctor. TEAMCARE will ask for occasional updates. 04/10/2022 0.10 MB Hits: 6 FRT (NON UPS) - SHORT TERM DISABILITY FORM #1 This is the Initial Short Term Disaiblity Form that is filled out first... 04/07/2022 0.22 MB Hits: 2 UPS - SHORT TERM DISABILITY FORM #1 This is the initial report of Short Term Disability Form... 04/07/2022 0.24 MB Hits: 5 Beneficiary Form - TeamCare Life Insurance Form for Beneficiary for your TeamCare Life Insurance 07/16/2021 0.04 MB Hits: 1 Appeals Form If you are not satisfied with a decision from TEAMCARE, you have the right to appeal. Here is a form and instructions. 02/21/2018 0.05 MB Hits: 2 Application for Extension of Coverage (Short Term Disability) After your 26 week Short Term Disability runs out, you can request a 13 week extension of coverage. This is for your insurance coverage only. No monetary benefit. 02/21/2018 0.09 MB Hits: 5