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Church Life Annuity Forms
Title
What is this for?
Contact Information
Interest Accumulation Fund Account Withdrawal Form
Interest Accumulation Fund Account Withdrawal Form
Church Life Insurance Corporation 19 East 34th Street New York, NY 10016
Direct Deposit of Church Life Annuity Benefit
Direct Deposit of Church Life Annuity Benefit Form
Church Life Insurance Corporation 19 East 34th Street New York, NY 10016
Deferred Annuity Contract Withdrawal Form
Deferred Annuity Contract Withdrawal Form
Church Life Insurance Corporation 19 East 34th Street New York, NY 10016
Divorce & Marriage Forms
Title
What is this for?
Contact Information
Splitting Your Pension Upon Divorce - Clergy DB
Information about how a QDRO can be used to split DB pension benefits due to a divorce.
Splitting Your Pension Upon Divorce - Lay DB
Information about how a QDRO can be used to split pension benefits due to a divorce.
QDRO Procedures - DB Plan (Clergy and Lay)
Determination process for approval of a qualified domestic relations order (QDRO).
Model QDRO - Shared Payment - Clergy Pension Plan
Model order for shared payment QDRO
Model QDRO - Shared Payment - Lay DB Plan
Model order for shared payment QDRO
Model QDRO - Separate Interest - Clergy Pension Plan
Model order for separate interest QDRO
Model QDRO - Separate Interest - Lay DB Plan
Model order for separate interest QDRO
QDRO Procedures and Model – RSVP & Lay DC Plan
Steps for determining spousal benefits in the event of divorce
The Church Pension Fund c/o Legal Department 19 East 34th Street New York, NY 10016 E-mail: QDRO@cpg.org Fax: (212) 592-9428
Consent Form
Authorizes CPF to give your pension information to your attorney or to someone else.
Legal Department The Church Pension Fund 19 East 34th Street New York, NY 10016 QDRO@cpg.org Fax: (212) 592-9428
Revocation of Former Spouse Option Form
To revoke benefit from former spouse
Client Services Operations The Church Pension Fund 19 East 34th Street New York, NY 10016 benefits@cpg.org Fax: (877) 432-9274
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Annuities are offered by Church Life Insurance Corporation, 19 East 34th Street, New York, NY 10016.

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