The Polish Roman Catholic Union of America is a fraternal benefit society providing financial security to its members through life insurance and annuity products, and offering opportunities for cultural, educational and spiritual growth.
Form: Authorization to Disclose
Method 1: Submit Electronically
Fill out the form on the lower half of this page – Click here
Method 2: Print and Mail
Click here to download a PDF of the Authorization to Disclose form.
Send completed form to:
Polish Roman Catholic Union of America Attn: Annuity Department
984 N. Milwaukee Ave.
Chicago, IL 60642-4101