Text Resize

-A +A
Bookmark and Share

Verification of Receipt of Annuity Payment


Monday, June 23, 2014

This document is only to be used in response to a request from DCRB to complete the information.  The intent of the form is to confirm that the annuitant is receiving a monthly annuity amount and requires that the form be signed in the presence of a Notary Public.

Requests to third parties to verify monthly income require the Authorization for Release of Confidential Information form to be completed.  

Attachment(s):