Chicago Painters Pension Fund - Retiree Verification Form

Chicago Painters Pension Fund - Retiree Verification Form

Vital Status Verification Form

Please help us complete our routine process to confirm that you remain eligible to receive your pension benefits from the Chicago Painters Pension Fund.

This verification is required to comply with federal regulations and internal plan rules that help ensure pension funds are distributed only to eligible recipients. 

Please complete this form and return it to us within 45 days of the date of this letter. 

 If we do not receive the completed form within 45 days, we will be required to suspend your pension benefits. 

Return the completed form to:

Chicago Painters Pension Fund
8205 S. Cass Ave, Suite 102
Darien, IL 60561
 

If you have questions or need help, call us at 630-960-5572 or email: pension@pdc14benefits.com 

 

PRINT FORM

 

PREV Article