EX-99.6 15 y65565a2exv99w6.txt FORM OF FORM OF ELECTION Return this form to American Stock Transfer & Trust Company no later than 4 PM New York City time on February 3, 2003, which is 3 trading days prior to the expiration date of the exchange offer Do you need Assistance? Call American Stock Transfer & Trust Company Toll Free (800) 937-5449 from the U.S. or (718) 921-8200 ext. 6820 from elsewhere IMS HEALTH INCORPORATED SAVINGS PLAN FORM OF ELECTION 1. ABOUT YOU AND YOUR SHARES-INDICATE ADDRESS CHANGE AS NECESSARY BELOW -------------------------------------------------------------------------------- RETURN THIS FORM TO AMERICAN STOCK TRANSFER & TRUST COMPANY AS FOLLOWS:
BY MAIL: BY HAND: BY OVERNIGHT DELIVERY: AMERICAN STOCK TRANSFER AMERICAN STOCK TRANSFER AMERICAN STOCK TRANSFER & TRUST COMPANY & TRUST COMPANY & TRUST COMPANY 59 Maiden Lane 59 Maiden Lane Operations Center Plaza Level Plaza Level 6201 15th Avenue New York, New York 10038 New York, New York 10038 Brooklyn, New York 11219 Attn: Reorg. Department
FOR INFORMATION, CALL (800) 937-5449, TOLL-FREE, IN THE UNITED STATES AND (718) 921-8200 EXT. 6820 FROM ELSEWHERE 2. ELECTION OPTIONS AND REQUIRED SIGNATURES -- COMPLETE A AND B A) OPTIONS [ ] Tender 100% of the IMS Health shares in my IMS Health Savings Plan account. [ ] Tender ____% of the IMS Health shares in my IMS Health Savings Plan account. B) REQUIRED SIGNATURES-You must sign below. ------------------------------------------------------------------------ ------------------------ SIGNATURE OF STOCKHOLDER DATE ( ) --------------------------------------------- AREA CODE AND DAYTIME PHONE