Manage Your PRCUA Certificate
Easily manage your membership certificates with convenient online forms.
If you have any questions, contact PRCUA Member Services Department at member-services@prcua.org or call (800) 772-8632
Life Insurance
Current Life Insurance Owner
Authorization Disclosure
Make a change to a certificate
- A008-CB792 (Beneficiary Designation – Change of Name)
- A3790 (Beneficiary Change to Trustee)
- A1025 (Change of Address Form)
Certificate replacement request
Cash Surrender
Beneficiary of a Life Insurance Certificate
Annuities
Current Annuity Owner
Authorization Disclosure
Certificate replacement request
Make a change to a certificate
- A008-CB792 (Beneficiary Designation – Change of Name)
- A3790 (Beneficiary Change to Trustee)
- A1025 (Change of Address Form)
Request for a distribution
- A005 (Non-Qualified Annuity Deposit Agreement Distribution Request)
- A010 (IRA Distribution Request)
- A100 (IRA Required Minimum Distribution (RMD)
- ACH (ACH Authorization)
- W-9 (Request for Taxpayer Identification Number)
Surrender (Close) Annuity
Beneficiary of a Annuity Certificate
- GO19 (Death Benefit Claim Form)
- W-9 (Request for Taxpayer Identification Number)
- A1109 (Affidavit in Case of Loss or Destruction of Deceased Member’s Certificate)
- ACH (ACH Authorization)
***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, along with an IRS W-9 form must also be submitted (the links for these forms are available above).
Do you have any questions about the products PRCUA offers?
Just fill out and send the form below. An authorized PRCUA agent will contact you at your convenience.
