When participating in a pension plan, workers expect to have their retirement years supported and secure. This is why understanding the Pension Benefit Guaranty Corporation (PBGC) Form 710 as an employee or retiree is so important. It outlines the type of protection you are entitled to, any applicable premiums you may need to pay, and other details related to your retirement income security under PBGC-administered plans. In this blog post we'll be discussing everything you need to know about PBGC Form 710—what it covers, when it needs to be submitted, what happens if can't file on time ,and more!
Question | Answer |
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Form Name | Pbgc Form 710 |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | 710 pbvgcxudo form |
Application for Electronic Direct Deposit
PBGC Form 710
Approved OMB
Pension Benefit Guaranty Corporation.
P.O. Box 151750, Alexandria, Virginia
For assistance, call
Plan Name: FX.PrismCase.CaseTitle.XF |
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Plan Number: FX.PrismCase.CaseIdNmbr.XF |
Participant Name : FX.PrismCust.FullName.XF |
Date Printed: 12/03/2010 |
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Date of Plan Termination: FX.PrismCase.DOPT.XF |
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INSTRUCTIONS: Please complete this form to have PBGC send your pension benefit payments directly to your bank or other financial institution through electronic direct deposit (EDD). This form may also be used for an Electronic Transfer Account (ETA). Your name must be on the account. If you have questions, call our Customer Contact Center at
1. General information about you
Plan Name (as shown on check)
Last Name |
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First Name |
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Middle Name |
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Other Name(s) Used |
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Social Security Number |
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PBGC Plan Number |
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Mailing Address |
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Apartment / Route Number |
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Email (optional) |
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Daytime Phone
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EXTENSION
x
Evening Phone
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2.Signature – I hereby authorize PBGC to deposit my pension benefit funds into my account. I understand that I may change this election in the future.
SIGNATURE |
DATE |
CONTINUE
Application for Electronic Direct Deposit |
Form 710, page 2 of 2 |
Plan Number: FX.PrismCase.CaseIdNmbr.XF |
Participant Name: FX.PrismCust.FullName.XF |
3.Financial institution information – Please provide the information in this section to have your payment sent directly to a financial institution. The information is available from your financial institution or can be found on your checks, account statement or deposit slip. The sample check below shows the location of your
Name of Financial Institution
Mailing Address
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State |
Zip Code |
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Name of contact person |
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Phone Number |
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Routing Number |
Account Number |
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Name(s) on the Account (Your name must be on the Account)
Account Type
Checking
Savings
PLEASE SIGN & DATE THIS FORM ON PAGE 1