Form: Change of Address

Method 1: Submit Electronically

Fill out the form on the lower half of this page – Click here

Please specify the new address below and which certificate(s) this address change will be applicable for and click “Submit” upon completion.

OR

Method 2: Print and Mail

Click here to download a PDF of the Change of Address form.

Screen Shot 2015-05-19 at 11.24.28 AM

Send completed form to:

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


    1. Owner Information

    *Required Field

    Name*:

    New Address*:

    State:

    Phone Number*:
    () - x

    E-Mail Address*:

    Date*:
    / /

    2. Certificate Information

    Apply the updated address to all products associated with this account: Life Insurance, Annuities, Loans, and Sales Representative Information.

    OR

    Please apply the above address change to the following certificate(s)/loan(s):

    I understand and agree with the Terms of Use as stated by the PRCUA and the completion of this form is accepted as my digital signature for processing and enrollment.

    * Please verify you are a human:

    captcha  

    Update Address Now