Single Defined Benefit Plan Forms and Documents

Here are the most common forms associated with the Nazarene 403(b) Retirement Savings Plan. If you have other questions, please contact us at 888-888-4656 or benefits@nazarene.org.

Note, for best results, Adobe Acrobat Reader is recommended when filling in the applications and forms. Be sure to download the document to your computer before starting to complete the pdf form, otherwise, you may lose your edits.

Defined Benefit Pension Forms

Application for Benefits

This is the application for the Nazarene Single Defined Benefit Plan, formerly the Basic Pension Plan.

Change of Address

This form authorizes Nazarene Benefits USA to initiate an address change to your account.

Pension Direct Deposit Request (not for 403b Retirement)

As an added service, Nazarene Benefits USA offers to you electronic direct deposit of your monthly pension benefit. If you would like to take advantage of this service, please complete this form.