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Uniformed Firefighters Association

Of Greater New York Local 94 I.A.F.F. AFL-CIO

  • About
  • Preferred Partners
  • Member Services
      • Member News
      • Active Member Forms & Resources
      • Retired Member Forms and Resources
      • SBF Checklist for All Members
      • Benefits / Beneficiaries / Enrollment
        • 2026 Complete Summary Plan Description
        • Change of Address Form
        • Compensation Accrual Fund
          • Empower Access Flyer
        • Domestic Partner Update
        • Retired Firefighter Security Benefit Fund (RFSBF) Summary of Benefits
        • Safeguard Summary Chart
      • Health Benefits Program
        • NYC Health Plans
          • NOW OPEN: Health Benefits 2025 Open Enrollment Period – Active
          • NOW OPEN: Health Benefits 2025 Open Enrollment – Retirees
        • OLR NYC Health Benefits Website
        • October 2024 Rate Change Notice
        • October 2024 Rate Chart – Employees Only
        • October 2024 Rate Chart – Retirees Only
        • October 2024 COBRA Package
        • October 2024 Rate Chart for Young Adult Option (Dependents Under 29)
        • Health Benefits Application for Active Members
        • Health Benefits Application for Retirees
        • Senior Care Court Decision August 2024
        • Senior Care Copay Notice 2025
      • Dental
        • MetLife Dental Benefits
        • MetLife Video for UFA Members
        • MetLife Dental Benefits – Effective Jan 2024
        • MetLife & UFA
        • MetLife December 2023 Update
        • MetLife Preferred Dentist Program (PDP)
          • PDP FAQS
          • Out of Network Claim Form
        • MetLife Managed Care Plan (HMO)
          • HMO/Managed Care Plans
      • Medical
        • Anesthesia Claim Form – Surgical
        • Anesthesia Claim Form – Maternity
        • Surgical Assistance Fund Application
        • Surgical Assistance Fund Fee Rates
        • Surgical Assistance Fund Summary of Benefits
        • IRMAA Reimbursement Form
          • IRMAA Reimbursement Info
        • Medicare Part B Reimbursement Application
          • Medicare Part B Info
      • Optical
        • Optical Benefits UFA SBF
        • Optical Reimbursement Form
        • Optical Provider Search
      • Prescription Coverage
        • FDNY Line-of-Duty (LODI) Prescription Benefit Plan
        • What’s In Your Wallet? Prescription Card Fact Sheet
    • NYC Fire Pension Fund
      • December 2024 Pension Mailing
        • Letter to Service Retirees
        • Letter to All Other Retirees
        • Life Insurance Beneficiary Form
        • VSF Beneficiary Form
        • Final Pension Payment Beneficiary Form
      • Change of Address Form
      • Check Affidavit
      • Electronic Fund Transfer Form
      • Pension Fund Manual
      • Retirement Checklist
      • Tier II Vesting Info
      • Tier III Vesting Info
      • Vested Application
      • Virtual Retirement Seminar Schedule 2026
      • W-4P Form
    • Account
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  • News / Events
    • 9/11 Never Forget Campaign
    • 20th Anniversary Journal
    • Golf Outing
    • Calendar of Events
    • Delegates Education Seminar
    • WTC
  • Political Action
  • Health & Safety
  • Scholarships, Donations & Philanthropy
UFA_Logo_Trace-zoom
  • About
  • Preferred Partners
  • News / Events
    • 9/11 Never Forget Campaign
    • 20th Anniversary Journal
    • Golf Outing
    • Calendar of Events
    • Delegates Education Seminar
  • Political Action
  • Scholarships & Donations
  • WTC
  • Member Login

Retiree Forms & Resources

Health & Safety
Military
Pension
SBF
WTC Program

Retiree Forms & Resources

Health & Safety
  • UFA Cancer/Cardiac Screening Program
  • UFA/UFOA Hypertension Program
Military Forms
  • Military Employee Repayment Plan - After 12/07/2006
  • Military Employee Repayment Plan - Prior to 12/07/2006
  • Monthly Certification of On-The-Job and Apprenticeship Training Form 22-6553d-1
  • Special Circumstances Guidelines
NYC Fire Pension Forms & Info
  • December 2024 NYC Fire Pension Fund Mailing: Updating Beneficiaries
    • Letter to Service Retirees
    • Letter to All Other Retirees 
    • Life Insurance Beneficiary Form
    • VSF Beneficiary Form 
    • Final Pension Payment Beneficiary Form
  • Change of Address Form
  • Check Affidavit
  • Electronic Fund Transfer Form
  • Pension Fund Manual
  • Retirement Checklist
  • Tier II Vesting Info
  • Tier III Vesting Info
  • Vested Application
  • Virtual Retirement Seminar Schedule 2026
  • W-4P Form
Security Benefit Fund

The UFA Security Benefit Fund (SBF) provides members pharmacy, optical and dental benefits.

  • SBF Home Page
UFA Forms
  • UFA Retirement and 20-Year Plaque Form
WTC Related Forms & Info
  • WTC Application Addendum
  • WTC Disability Application
  • WTC Disability Application for Reclassification
  • WTC Counseling Services
  • WTC Health Impacts
  • WTC Pharmacy Benefit Manager
  • WTC Physical Health Satellite Locations
  • WTC Prescription Plan Fact Sheet
  • WTC Medical Monitoring
  • WTC Notice of Participation
  • WTC Presumptive Illness Registration Form
  • WTC Workers Compensation

Sullivan Papain

Sullivan Papain have been UFA's general counsel for over 40 years, fighting for the rights of UFA members and their loved ones.

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Mid-Island Mortgage

Mid-Island Mortgage is New York State’s most experienced and longest-operating mortgage banker, serving the community since 1959. They provide thousands of dollars in discounts to the largest unions across the Northeast, plus the lowest rates available, and all with the most important focus of all: personalized service for UFA members.

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Uniformed Firefighters Association
204 East 23rd Street New York, NY 10010
212-683-4832

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