Royal Caribbean Cruises Ltd.

Shipboard Seniority Retirement Plan Distribution Election Form Page 1 of 2

Section I: In order to process your claim, please print clearly and answer EVERY question in this section.

Employee Name: _________________________________________________________________________________________

Home Address: _________________________________________________________________________________________

_________________________________________________________________________________________

Telephone Number: _______________________________ Email Address: ________________________________________

Date of Hire: _______________________________ Date of Termination/Retirement: _______________________
Employee ID Number: ____________________________ Date of Birth___________________________________________
Has the Company ever made a contribution to another retirement plan for you? _____ Yes _____ No
Are you a United States Citizen or United States Resident Alien? ___ Yes ___ No If yes, complete Section II.
Employee U.S. Social Security Number (if applicable): __________________________________________________
If no, indicate country of citizenship: __________________________________________ and go to Section III.
Note: You should seek the advice of a tax professional in your country before completing this form.

Section II: Complete Section II only if you are a US Citizen or US Resident Alien.

The Plan Administrator will make payment as soon as administratively possible following receipt of this completed
Distribution Election Form. Please process my benefit payment via one of the following methods:

Salary@Sea Card

Make a bank transfer to:

Bank Name: __________________________________________________________________________
Branch Address: __________________________________________________________________________________
_________________________________________________________________________________
Account Number: ____________________________ Routing Transit Number: ________________________

25% Federal Income Tax withholding will apply.

Section III: Complete Section III only if you are NOT a US Citizen or US Resident Alien.
The Plan Administrator will make payment as soon as administratively possible following receipt of this completed
Distribution Election Form. TO AVOID DELAY – COMPLETE ENTIRE SECTION.
Make a bank transfer to:
US Intermediary Bank______________________________________ US Intermediary Swift Code:__________________
Bank Name: ____________________________________________ Bank Swift Code: _________________________

Branch Address: ______________________________________________________________________________________

______________________________________________________________________________________
Account Number: ______________________________________________________________________________
IBAN Number (International Banking Acct Number) __________________________________________________________
(IBAN required for all EU countries)
Name of Account Holder: __________________________________________________________________________
(The claimant must be either the sole or joint account holder. 3rd party details cannot be accepted and will delay
processing.)
``
Royal Caribbean Cruises Ltd.
Shipboard Seniority Retirement Plan Distribution Election Form Page 2 of 2

Section IV: In order to process your claim, you must complete and submit all requirements.

I confirm that I have received the Royal Caribbean Cruises Ltd. Shipboard Seniority Plan brochure outlining the
benefits and eligibility requirements under the Plan. I declare that I am eligible to participate in the Plan and claim the
benefits due under the rules. The information I have provided is accurate and will form the basis on which
benefits are calculated. Receipt of this Distribution Election Form does not guarantee a retirement benefit.

This agreement has been executed by the Participant on: ___________ day of _____________________, 20______.

Participant’s (employee) Signature: __________________________________________________________________

YOU MUST SUBMIT TWO (2) DOCUMENTS THAT ESTABLISHES YOUR IDENTITY. (Example- Copies of
signed passport with picture, signed sign-off employment agreement, signed government ID card, etc.)

NOTE:
1. FAILURE TO SIGN THE FORM AND PROVIDE ID WILL DELAY PROCESSING.
2. NO PAYMENT IS MADE ON THE SHIP.

WITNESS TO CLAIMANT’S SIGNATURE: Signed on behalf of the Company: (Not to be completed by

the claimant)
This agreement has been executed by the Company on: ___________ day of ________________________, 20______.

Print Name: _____________________________________ Signature: _______________________________________

Position: ___________________________________________ Ship: ______________________________________

Must hold one of the following positions in order to execute on behalf of the Company:
Human Resources Manager, Crew Relations Specialist, Crew Welfare Specialist, Crew Payroll Manager, Hotel
Manager / Director, Master, or Miami HR/Benefits Department.

Section V: Beneficiary Designation

I hereby designate the following beneficiary to receive my benefit, if any, due under the Plan in the event of my death
(specify full name and address):
Name: _________________________________________________________________________________
Address: _________________________________________________________________________________
_________________________________________________________________________________
Relationship _________________________________________________________________________________

Section VI: Mailing Address

In order to process your payment participant must send completed Distribution Election Form AND copies of two
documents that establishes your identity to:

Offshore Benefit Administration Services (OBAS) Ltd.

International House
Homewell
Havant
Hants., PO9 1EE
England

Telephone: 44 (0) 23 92 473014 Fax: 44 (0) 23 92 470147

E-Mail: rccl.obas@danamere.com