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If
your name is in the class action database, you will need to
complete one or more of the following forms in order to claim
your benefit.
Please go to the Pension
Search page for the Pension Benefit Guaranty Corporation
(PBGC) and search for the name of the person who you think
is a class member.
You may also get information from the office of the attorney
for the class by calling 1-800-561-9916.
Completed
forms should be mailed to the PBGC or the attorney for the
class. See the help page for complete contact information.
Forms
- All class members must complete a Response
Form which is
a tax election form.
- Former
W.T. Grant employees may be entitled to settlement benefits
conditioned on proof of employment for 10 years or more.
Select the Conditional
Notice Form and fill in the spaces
for Date of Hire, Date of Birth, and Social Security Number
of page 1 of the form. Your should also complete the Social
Security Authorization form on page 2. This will allow the
PBGC to confirm your employment.
Note:
Each link will download a pdf file. You may click
for free download of Acrobat Reader, which must be on your computer to
read and print the forms.
Please click to download the forms you need:
Response Form
Form
for a Surviving Spouse
Form
for an Estate Representative
Intestate
Form
Conditional
Notice Form
Social
Security Earnings Authorization Form
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