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 202-289-1118.

Completed forms should be mailed to the PBGC or the attorney for the class. See the help page for complete contact information.

Downloadable Forms
(PDF forms will open in a new window.)

• A Response Form, which is a tax election form, must be completed by all class members.

• If the class member is deceased please complete a Response Form plus one of the following forms:
  • Form for a Surviving Spouse,
  • Form for an Estate Representative or
  • Intestate 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 on page 1 of the form. You should also complete the Social Security Authorization form on page 2. This will allow the PBGC to confirm your employment.

• A Social Security Earnings Authorization Form is also available for download.

View Letter with Questionnaire

Download and Print Questionnaire