|
|
|
|
|
|
Statement of Claimant – Non Spousal |
|
|
|
|
|
Use
If the Plan Member has died and the beneficiary is not the Member’s spouse,
the beneficiary should use the Statement of Claimant – Non Spousal Benefit
to advise the Plan Administrator of the Member’s death and request the lump
sum pay–out of the Member’s pension funds.
|
|
|
|
|
|
Information Needed to Complete the Form
The Member's and beneficiary's personal information is needed to complete
the form.
The original death certificate (or a notarized copy) must be submitted with this
form.
|
|
|
|
|
|
Notes
If the beneficiary is the Member’s spouse, the Statement of Claimant
– Spousal Benefit form should be use instead of this form.
Questions on completing the form should be directed to the Plan
Administrator.
Completed forms should be forwarded to the Plan
Administrator. |
|
|
|
|
|
Plan Administrator
Millworkers Pension Plan (Unifor) Administrator
c/o D.A. Townley.
160 – 4400 Dominion Street
Burnaby, BC V5G 4G3
Phone: 604-299-7482 or 1-800-663-1356
Fax: 604-299-8136
Email: Pension
|
|
|
|
|
|
|
