MICHIGAN UPPER PENINSULA

INTERNATIONAL BROTHERHOOD OF ELECTRICAL WORKERS

PENSION PLAN

130 W. Washington St., Ste. L-9

Marquette, MI 49855

(906) 226-2414 Phone

(906) 226-2221 Fax

 

Dear Member of Michigan Upper Peninsula IBEW Pension Plan,

     A review of our records indicates that you are, or shortly may be, eligible for retirement benefits from the Michigan Upper Peninsula IBEW Pension Plan.  If you have reviewed your copy of the Plan summary, you are probably already aware of this fact. If you do not have a copy of the Plan summary, you may obtain a copy from your local office.

     In order to confirm your eligibility for pension benefits, please fill in the information called for by the questions below and return this letter to the address given above:

                                NAME:__________________________________________________________________________

                                ADDRESS:_______________________________________________________________________

                                _________________________________________________________________________________

                                PHONE:_________________________________________________________________________

                                BIRTH DATE:____________________________________________________________________

                                SOCIAL SECURITY NO.:__________________________________________________________

Are you now working in the Upper Peninsula electrical trade?______________________________

If not, when did you last work in the U.P. electrical trade?_________________________________

Have you permanently retired from the U.P. electrical work?_______________________________

If not, when do you intend to retire from U.P. electrical work?______________________________

Are you married?_______________________________________________________________

Spouse Information:   NAME:_____________________________________________________

                                  BIRTH DATE:______________________________________________

                                  SOCIAL SECURITY NO.:____________________________________

Thank you for your participation,

MICHIGAN U.P. IBEW PENSION PLAN

BOARD OF TRUSTEES

                                                                                               Back to Forms