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PARTICIPANT PENSION BENEFIT APPLICATION

NATIONAL ELECTRICAL BENEFIT FUND NEBF PARTICIPANT PENSION BENEFIT APPLICATION 2400 Research Boulevard, Suite 500, Rockville, MD 20850-3266 Telephone (301) 556-4300 Rev 01/12 RETURN TO WORK POLICY If you are receiving an early or normal retirement BENEFIT : You must immediately notify the NEBF if you return to work in the electrical industry for forty (40) or more hours per month. If you are receiving an early or normal retirement BENEFIT and you return to work in the electrical industry for forty (40) or more hours per month, your BENEFIT will be suspended until such time that you actually retire.

NATIONAL ELECTRICAL BENEFIT FUND NEBF PARTICIPANT PENSION BENEFIT APPLICATION 2400 Research Boulevard, Suite 500, Rockville, MD 20850-3266 Telephone (301) 556-4300

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