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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

 

Coverage Determination

Request for Coverage Determination

Form

Instructions

 

Distress Terminations (Full set of PDF Forms)

Enrolled Actuary Certification (Schedule EA-D)

Follow Distress Termination instructions (page 4 of PDF instructions)

PDF

 

Financial Information and Distress Criteria (Schedule F)

PDF

 

Notice of Intent to Terminate (Form 600)

PDF

 

Notice of Single-Employer Plan Termination (Form 601)

PDF

 

Plan Information (Schedule P)

PDF

 

Post-Distribution Certification (Form 602)

PDF

 

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

Annuity Purchase Information (Attachment A to Schedule MP)

PDF

Follow Missing Participant instructions (page 9 of PDF instructions)

 

Individual Information (Attachment B to Schedule MP)

PDF

Participant Information (Schedule MP)

PDF

Payment Voucher (Schedule MP)

PDF

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

Type of Plan
Applicable Form
How to File
Excel template

Defined Contribution Plans

Form MP-200

See Form MP-200 instructions

Excel

PBGC-insured Multiemployer Plans

Form MP-400

See Form MP-400 instructions

Excel

PBGC-insured Single-Employer Plans

Form MP-100

See Form MP-100 instructions

Excel

Small Professional Services DB Plans (not insured by PBGC)

Form MP-300

See Form MP-300 instructions

Excel

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

 

Reportable Events

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

Substantial Cessations of Operations

Notice of ERISA 4062(e) Event

Form 4062(e)-01

Instructions

 

Notice of Election Under ERISA 4062(e)(4)

Form 4062(e)-02

Notice of Additional Contributions Under ERISA 4062(e)(4)

Form 4062(e)-03

Notice of Failure to Make Additional Contributions Under ERISA 4062(e)(4)(e)

Form 4062(e)-04

Terminations

Standard Terminations (Full set of PDF Forms)

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

PDF

Follow Standard Termination instructions (page 5 of PDF instructions)

 

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

PDF

Notice Single-Employer Plan Termination (Form 500)

PDF

Post-Distribution Certification
for Standard Termination (Form 501)

PDF

 

 

Last Updated: September 3, 2021

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