Employee Benefits Security Administration

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

The Employee Benefits Security Administration (EBSA) offers information and assistance on employer-sponsored retirement benefit and health benefit plans.

Forms & Documents

Browse all Employee Benefits Security Administration government forms

81 - 100 of 158 forms

Form Title Topics
Financial Information-2019
Financial Information-2020
Financial Information - Small Plan
Financial Information - Small Plan-2016
Financial Information - Small Plan-2017
Financial Information - Small Plan-2018
Financial Information - Small Plan-2019
Financial Information - Small Plan-2020
Financial Transaction Schedules
Financial Transaction Schedules
Financial Transaction Schedules-2016
Financial Transaction Schedules - 2018
Financial Transaction Schedules-2019
Financial Transaction Schedules-2020
FMLA Certification for Serious Injury or Illness of a Veteran for Wage and Hour Division Military Caregiver Leave
FMLA Certification of Health Care Providerfor Employee’s Serious Health Condition
FMLA Certification of Health Care Providerfor Family Member’s Serious Health Condition
FMLA Certification of Qualifying Exigency For Military Family Leave
Health Insurance Claim Form
Insurance Information

Contact Information & Office Locations

61 - 64 of 64 contact points

Washington DC - Matthew Gisler - Acting

Address:
1335 East-West Hwy
Suite 200
Silver Spring, MD 20910

Phone numbers:
  • (202) 693-8700
Fax numbers:
  • (202) 693-8736

West Virginia

Address:
Washington District Office
1335 East-West Hwy
Ste 200
Silver Spring, MD 20910

Phone numbers:
  • (202) 693-8700
Fax numbers:
  • (202) 693-8736

Wisconsin

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

Wyoming

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

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

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