The following forms are available online to manage your membership certificates:
- Authorization to Disclose
- Change of Address
- Deposit Agreement Distribution Request (Non-Qualified Annuity)
- IRA – Distribution Request
- IRA – Required Minimum Distribution (RMD)
***Please be advised – when surrendering an annuity for a lump sum distribution, the original annuity certificate or Affidavit in Case of Loss or Destruction of a Certificate (which can be found below), along with a Request for Taxpayer Identification Number W-9 form must also be submitted.***
The following forms are download-only. These forms are provided in Adobe® Acrobat® format. Please fill out the digital form, save and click here to upload.
Alternatively, you may print and mail the completed form to our main office:
Polish Roman Catholic Union of America
Attn: Member Services
984 N. Milwaukee Ave.
Chicago, IL 60642-4101
If you have any questions please contact us online or call 1-800-772-8632