Married Divorced Single Yes No Yes No Yes No Yes No Yes No Yes No Your submitted information will be transmitted to our offices after clicking SUBMIT and will be acknowledged immediately.  To prepare a free pension review for you we need to obtain some data from your existing UK pension provider or trustees.  They will only comply with our request if we can show them that we have your permission by holding your signed authority.  It does not commit you to any change. Please print out this page, sign it and then send it to us by ONE (1) of the following methods: (1) by scanning it to an e-mail, (2) OR by mailing it to the address on the form (3) OR by faxing it to the number below.   +1 (770) 390-0253  FAX carroll1999@bellsouth.net   We need your signature for legal reasons so a faxed or mailed questionnaire is best, however we will contact you immediately on receiving this Authorization Form. AUTHORITY   To Pension Trustee _________________________________________  This is to authorize you to provide Kestrel Pensions Administration Ltd., acting on behalf of Kestrel International, with all information they require in respect of my U.K. preserved pension benefits.     _________________________________________ Signed Date     _________________________________________ Name in Full     _________________________________________   Please print this form out, sign and return this authority by (1) fax (770) 390-0253, (2) by regular mail, or (3) by scanning and emailing to us.     2707 Wood Hollow Drive, Atlanta, GA 30360 Tel: (770) 391-0181 E-Mail: carroll1999@bellsouth.netList additional plans here.Employer Year Started Year Ended