Employee Benefits Security Administration

Official Website: https://www.dol.gov/agencies/ebsa

Forms & Documents

Browse all Employee Benefits Security Administration forms

1 - 20 of 158 forms

Form Title Topics
Administrative Subpoena to Appear & Testify at a Deposition
Administrative Subpoena to Appear & Testify at a Hearing
Administrative Subpoena to Produce Documents, Information or Objects, or to Permit Inspection of Premises
Agreement and Undertaking (Insurance Carrier)
Agreement and Undertaking (Self-Insured Employer)
Agreement to Mediate
Agricultural and Food Processing Clearance Order
Annual Return of a One-Participant Retirement Plan or a Foreign Plan
Annual Return/Report of Employee Benefit Plan
Annual Return/Report of Employee Benefit Plan-2016
Annual Return/Report of Employee Benefit Plan-2017
Annual Return/Report of Employee Benefit Plan-2018
Annual Return/Report of Employee Benefit Plan-2019
Annual Return/Report of Employee Benefit Plan-2020
Annual Return/Report of Small Employee Benefit Plan
Annual Return/Report of Small Employee Benefit Plan-2016
Annual Return/Report of Small Employee Benefit Plan-2018
Annual Return/Report of Small Employee Benefit Plan-2018
Annual Return/Report of Small Employee Benefit Plan-2020
Appeal Form

Contact Information & Office Locations

1 - 20 of 64 contact points

Alabama

Address:
Atlanta Regional Office
61 Forsyth St, SW
Ste 7B54
Atlanta, GA 30303

Phone numbers:
  • (404) 302-3900
Fax numbers:
  • (404) 302-3975

Alaska

Address:
Seattle District Office
300 Fifth Avenue
Ste 1110
Seattle, WA 98104

Phone numbers:
  • (206) 757-6781
Fax numbers:
  • (206) 757-6662

American Samoa

Address:
Los Angeles Regional Office
35 N. Lake Ave.
Ste 300
Pasadena, CA 91101

Phone numbers:
  • (626) 229-1000
Fax numbers:
  • (626) 229-1098

Arizona

Address:
Los Angeles Regional Office
35 N. Lake Ave.,
Ste 300
Pasadena, CA 91101

Phone numbers:
  • (626) 229-1000
Fax numbers:
  • (626) 229-1098

Arkansas

Address:
Dallas Regional Office
525 South Griffin St,
Rm 900
Dallas, TX 75202-5025

Phone numbers:
  • (972) 850-4500
Fax numbers:
  • (214) 767-1055

California (northern)

Address:
San Francisco Regional Office
90 7th St
Ste 11-300
San Francisco, CA 94103

Phone numbers:
  • (415) 625-2481
Fax numbers:
  • (415) 625-2450

California (southern)

Address:
Los Angeles Regional Office
35 N. Lake Ave.
Ste 300
Pasadena, CA 91101

Phone numbers:
  • (626) 229-1000
Fax numbers:
  • (626) 229-1098

Colorado

Address:
Kansas City Regional Office
2300 Main St.
Ste 1100
Kansas City, MO 64108

Phone numbers:
  • (816) 285-1800
Fax numbers:
  • (816) 285-1888

Connecticut

Address:
Boston Regional Office
JFK Federal Bldg
15 New Sudbury St.
Rm 575
Boston, MA 02203

Phone numbers:
  • (617) 565-9600
Fax numbers:
  • (617) 565-9666

Delaware

Address:
Philadelphia Regional Office
1835 Market Street
21st Floor
Mailstop EBSA/21
Philadelphia, PA 19103-2968

Phone numbers:
  • (215) 861-5300
Fax numbers:
  • (215) 861-5347

Florida (northern)

Address:
Atlanta Regional Office
61 Forsyth St, SW
Ste 7B54
Atlanta, GA 30303

Phone numbers:
  • (404) 302-3900
Fax numbers:
  • (404) 302-3975

Florida (southern)

Address:
Miami District Office
1000 S Pine Island Road
Ste 100
Plantation, FL 33324

Phone numbers:
  • (954) 424-4022
Fax numbers:
  • (954) 424-0548

Georgia

Address:
Atlanta Regional Office
61 Forsyth St, SW
Ste 7B54
Atlanta, GA 30303

Phone numbers:
  • (404) 302-3900
Fax numbers:
  • (404) 302-3975

Guam

Address:
Los Angeles Regional Office
35 N. Lake Ave.
Ste 300
Pasadena, CA 91101

Phone numbers:
  • (626) 229-1000
Fax numbers:
  • (626) 229-1098

Hawaii

Address:
Los Angeles Regional Office
35 N. Lake Ave.
Ste 300
Pasadena, CA 91101

Phone numbers:
  • (626) 229-1000
Fax numbers:
  • (626) 229-1098

Idaho

Address:
Seattle District Office
300 Fifth Avenue
Ste 1110
Seattle, WA 98104

Phone numbers:
  • (206) 757-6781
Fax numbers:
  • (206) 757-6662

Illinois (northern)

Address:
Chicago Regional Office
John C. Kluczynski Federal Bldg
230 S. Dearborn Street
Ste 2160
Chicago, IL 60604

Phone numbers:
  • (312) 353-0900
Fax numbers:
  • (312) 353-1023

Illinois (southern)

Address:
Kansas City Regional Office
2300 Main St
Ste 1100
Kansas City, MO 64108

Phone numbers:
  • (816) 285-1800
Fax numbers:
  • (816) 285-1888

Indiana (northern)

Address:
Chicago Regional Office
John C. Kluczynski Federal Bldg
230 S. Dearborn Street
Ste 2160
Chicago, IL 60604

Phone numbers:
  • (312) 353-0900
Fax numbers:
  • (312) 353-1023

Indiana (southern)

Address:
Cincinnati Regional Office
1885 Dixie Hwy
Ste 210
Ft. Wright, KY 41011-2664

Phone numbers:
  • (859) 578-4680
Fax numbers:
  • (859) 578-4688

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