Teachers Retirement System Member
Suit Information Sheet

NOTE: The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.
Name:   
Street Address:   
City:   
Zip:   
Cell Phone:   
Home Phone:   
Work Phone:   
Secure Email Home:   
Email Work:   
 
Are you currently Employed by the school system?
 Yes
     No
 
Are you retired from the school system?
 Yes
     No
 
What is your current occupation?

 
What is/was your occupation(s) as a member of the WV Teacher's Retirement System?

 
What WV county do you live in?   
What WV county do you work in?   
 
If not currently a WV resident, please provide your personal work history as a public school employee and member of the Teacher's Retirement System, including county where you lived and county where you worked.

 
During the time period 1990 through 1995, did you transfer from the Defined Benefit Plan to the Defined Contribution Plan or were you a new employee required to be in the Defined Contribution Plan?
 Transferred
     New Employee
 
Were you contacted by any WV state-approved investment companies other than VALIC with regard to your retirement product options in the Defined Contribution Plan?
 Yes
     No
 
If Yes, which ones?

 
What was the name of the representative who met with you with regard to transferring your retirement to VALIC under the Defined Contribution Plan?

 
Where did the presentation take place?

 
Approximately when did the presentation take place?

 
Would you like to receive periodic e-mail updates regarding this litigation at your personal email address?
 Yes
     No
 
Located in Charleston, West Virginia, we represent clients in Huntington, Parkersburg, Wheeling, Morgantown, Beckley, Logan, Martinsburg, Clarksburg, Williamson, Lewisburg, Bluefield, Princeton, Elkins, Buckhannon, Fairmont, Pittsburgh PA, Columbus OH, Cincinnati OH, Dayton OH.