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Forms for Pension Practitioners and Employers

Forms for Pension Practitioners and Employers

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Below, you'll find forms and other reporting tools grouped by the following topics:


Form Name
How to Obtain Information on Form or What Information Must Be Filed
How to Submit Information

Annual Financial and Actuarial Information Reporting (ERISA § 4010) (illustrative form)

e-4010 Filing Requirements [PDF]

Via e-filing portal

Annual Return/Report of Employee Benefit Plan (IRS/DOL/PBGC Form 5500)

Form 5500 Series - DOL Web site

Follow instructions posted on DOL’s Form 5500 Series webpage

Payment of Premiums

Comprehensive Premium Filing

Instructions and Illustrative Form

Via My PAA

Termination Premium Form (Form T)

Instructions and Form

Follow Termination Premium instructions

Coverage Determination

Request for Coverage Determination



Reportable Events

See Reportable Events and Large Unpaid Contributions for forms and reporting requirements.


Standard Terminations (Full set of PDF Forms)

Notice Single-Employer Plan Termination (Form 500)


Follow Standard Termination instructions (page 5 of PDF instructions)

Post-Distribution Certification
for Standard Termination (Form 501)


Certification of Sufficiency (Schedule EA-S to Form 500)


Designation of Representative (Schedule REP-S to Form 500)


Distress Terminations (Full set of PDF Forms)

Notice of Intent to Terminate (Form 600)


Follow Distress Termination instructions (page 4 of PDF instructions)

Plan Information (Schedule P)


Financial Information and Distress Criteria (Schedule F)


Notice of Single-Employer Plan Termination (Form 601)


Enrolled Actuary Certification (Schedule EA-D)


Post-Distribution Certification (Form 602)


Missing Participants Filings for Plans that Terminate before 1/1/2018
​Single-employer PBGC-insured plans only
(Full set of PDF Forms)

Participant Information (Schedule MP)


Follow Missing Participant instructions (page 9 of PDF instructions)

Annuity Purchase Information (Attachment A to Schedule MP)


Individual Information (Attachment B to Schedule MP)


Payment Voucher (Schedule MP)


Missing Participants Filings for Plans that Terminate on or after 1/1/2018

Type of Plan
Applicable Form
How to File

PBGC-insured Single-Employer Plans

Form MP-100

See Form MP-100 instructions

Defined Contribution Plans

Form MP-200

See Form MP-200 instructions

Small Professional Services DB Plans (not insured by PBGC)

Form MP-300

See Form MP-300 instructions

PBGC-insured Multiemployer Plans

Form MP-400

See Form MP-400 instructions



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Online Premium Filing (My PAA)

Online Premium Filing (My PAA)

My PAA is PBGC’s secure online application for electronic submission of premium filings and payments.

Log In to My PAA

Create a New Account

How to Use My PAA

Last updated July 8, 2019