INSTRUCTIONS FOR COMPLETING FORMER PARTICIPANT CLAIM FORM Clause Samples
INSTRUCTIONS FOR COMPLETING FORMER PARTICIPANT CLAIM FORM. 1. Complete this claim form and keep a copy of all pages of your Former Participant Claim Form, including page 1 with the address label, for your records.
2. Mail your completed Former Participant Claim Form postmarked no later than XXXXXXXX to the Settlement Administrator at the following address: It is your responsibility to ensure the Settlement Administrator has timely received your Former Participant Claim Form.
3. Other Reminders: • You must provide date of birth, signature and a completed Substitute IRS Form W-9, which is attached as Part 5 to this form. • If you desire to do a rollover and you do not complete in full the rollover information in Part 4 Payment Election of the Settlement Distribution Form, payment will be made to the participant. • If you change your address after sending in your Former Participant Claim Form, please send your new address to the Settlement Administrator.
INSTRUCTIONS FOR COMPLETING FORMER PARTICIPANT CLAIM FORM. 1. Complete this claim form and keep a copy of all pages of your Former Participant Claim Form, including page 1 with the address label, for your records.
2. Mail your completed Former Participant Claim Form, postmarked no later than XXXXXXXX, 2019, to the Settlement Administrator at the following address: It is your responsibility to ensure the Settlement Administrator has timely received your Former Participant Claim Form.
INSTRUCTIONS FOR COMPLETING FORMER PARTICIPANT CLAIM FORM. Complete this claim form and keep a copy of all pages of your Former Participant Claim Form, including the first page with the address label, for your records.
INSTRUCTIONS FOR COMPLETING FORMER PARTICIPANT CLAIM FORM. 1. Complete this claim form and keep a copy of all pages of your Former Participant Claim Form, including page 1 with the address label, for your records.
2. Mail your completed Former Participant Claim Form postmarked no later than XXXXXXXX to the Settlement Administrator at the following address: If you prefer to file your claim electronically, you may use the claims portal on the website ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇. It is your responsibility to ensure the Settlement Administrator has timely received your Former Participant Claim Form.
3. Other Reminders: • You must provide date of birth, signature and a completed Substitute IRS Form W-9, which is attached as Part 5 to this form. • If you desire to do a rollover and you do not complete in full the rollover information in Part 4 Payment Election of the Settlement Distribution Form, payment will be made to the Former Participant. • If you change your address after sending in your Former Participant Claim Form, please send your new address to the Settlement Administrator.
INSTRUCTIONS FOR COMPLETING FORMER PARTICIPANT CLAIM FORM. 1. Complete this claim form and keep a copy of all pages of your Former Participant Claim Form, including the first page with the address label, for your records.
2. Mail your completed Former Participant Claim Form postmarked on or before [DATE] to the Settlement Administrator at the following address: McKinsey Plans Settlement Administrator P.O. Box [number] [City, State, ZIP]
INSTRUCTIONS FOR COMPLETING FORMER PARTICIPANT CLAIM FORM. 1. Complete this claim form and keep a copy of all pages of your Former Participant Claim Form, including page 1 with the address label, for your records.
2. Mail your completed Former Participant Claim Form postmarked no later than XXXXXXXX to the Settlement Administrator at the following address: Claim Forms may also be completed and submitted to the Settlement Administrator electronically online at ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇. Electronic Claim Forms must be submitted no later than XXXXXX. It is your responsibility to ensure the Settlement Administrator has timely received your Former Participant Claim Form.
INSTRUCTIONS FOR COMPLETING FORMER PARTICIPANT CLAIM FORM. 1. Complete this claim form and keep a copy of all pages of your Former Participant Claim Form, including the first page with the address label, for your records.
2. Mail your completed Former Participant Claim Form postmarked on or before [DATE] to the Settlement Administrator at the following address: M&T Bank Corporation Retirement Savings Plan Settlement Administrator P.O. Box [number] [City, State, ZIP]
INSTRUCTIONS FOR COMPLETING FORMER PARTICIPANT CLAIM FORM. 1. Complete this claim form and keep a copy of all pages of your Former Participant Claim Form, including page 1 with the address label, for your records.
2. Mail your completed Former Participant Claim Form to the following address so that it is received by the Settlement Administrator no later than XXXXXXX: Lockheed ▇▇▇▇▇▇ 401(k) Settlement Administrator P.O. Box 200X Chanhassen, MN 55317-200X
3. Other Reminders: • You must provide date of birth, signature and a completed Substitute IRS Form W-9, which is attached as Part 5 to this form. • If you desire to do a rollover and you do not complete in full the rollover information in Part 4 Payment Election of the Settlement Distribution Form, payment will be made to the participant. • If you change your address after sending in your Former Participant Claim Form, please send your new address to the Settlement Administrator.
INSTRUCTIONS FOR COMPLETING FORMER PARTICIPANT CLAIM FORM. 1. Complete this claim form and keep a copy of all pages of your Former Participant Claim Form, including page 1 with the address label, for your records.
2. Mail your completed Former Participant Claim Form, postmarked no later than [INSERT DATE], to the Settlement Administrator at the following address: Claim Forms may also be completed and submitted to the Settlement Administrator electronically online at [INSERT WEBSITE]. Electronic Claim Forms must be submitted no later than [INSERT DATE]. It is your responsibility to ensure the Settlement Administrator has timely received your Former Participant Claim Form.
INSTRUCTIONS FOR COMPLETING FORMER PARTICIPANT CLAIM FORM. 1. If you would like to receive your settlement payment, please complete this claim form. You should also keep a copy of all pages of your Former Participant Claim Form, including the first page with the address label, for your records.
2. Mail your completed Former Participant Claim Form postmarked on or before [10 days before the Fairness Hearing] to the Settlement Administrator at the following address: WakeMed Retirement Savings Plan Settlement Administrator P.O. Box [number] [City, State, ZIP]