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New Jersey Division of Pensions & Benefits (NJDPB), Department of the Treasury fax number

(609) 633-1696

Division of Pensions & Benefits

Used for: Submitting pension and benefits forms to the NJ Division of Pensions & Benefits, including LTD eligibility (ABP/DCRP) and other ABP/DCRP-related forms via fax.

Fax destination details

Department
Division of Pensions & Benefits
Purpose
Submitting pension and benefits forms to the NJ Division of Pensions & Benefits, including LTD eligibility (ABP/DCRP) and other ABP/DCRP-related forms via fax.
Form
RD-1151; FP-0952; FL-0787; EP0646 — RD-1151: Eligibility Determination Application for ABP and DCRP Long-Term Disability; FP-0952: Withdrawal Request Acknowledgment Receipt; FL-0787: Waiver of Participation in DCRP; EP0646: Rollover/Transfer Request
Address
P.O. Box 295, Trenton, NJ 08625-0295
Voice phone
609-292-7524

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Complete the form as directed, sign where required, and fax to (609) 633-1696. Refer to the specific form's instructions for details on required fields and submission.

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