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This form is used by employees to request a hardship withdrawal from their retirement plan, specifically under the Trinity Heath Deferred Compensation Plan. It requires completion of participant and
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How to fill out hardship withdrawal request

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How to fill out Hardship Withdrawal Request

01
Obtain the Hardship Withdrawal Request form from your plan administrator or financial institution.
02
Read the instructions carefully to understand eligibility requirements.
03
Fill in your personal information, including your name, account number, and contact details.
04
Indicate the reason for your hardship withdrawal, following the guidelines provided.
05
Provide any required documentation to support your request (e.g., medical bills, eviction notices).
06
Review all information for accuracy and completeness.
07
Sign and date the form.
08
Submit the completed form to your plan administrator or appropriate department.

Who needs Hardship Withdrawal Request?

01
Individuals experiencing significant financial difficulties such as medical emergencies, natural disasters, or eviction.
02
Employees facing hardship that prevents them from meeting their basic living expenses.
03
Participants in retirement plans who meet specific criteria set by their plan for hardship withdrawals.
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As part of the application, you will certify that you meet all of the requirements to receive a hardship withdrawal. You will be responsible for saving any documentation necessary to prove that you met the requirements (e.g., bills, invoices, legal documents) and providing such documentation in case of an IRS audit.
For example, some 401(k) plans may allow a hardship distribution to pay for your, your spouse's, your dependents' or your primary plan beneficiary's: medical expenses, funeral expenses, or. tuition and related educational expenses.
To qualify, individuals must demonstrate significant and immediate financial hardship, such as medical expenses or losses due to a natural disaster. Unlike loans, these withdrawals cannot be repaid, permanently reducing retirement savings. Further, there are also tax ramifications to these withdrawals.
For example, some 401(k) plans may allow a hardship distribution to pay for your, your spouse's, your dependents' or your primary plan beneficiary's: medical expenses, funeral expenses, or. tuition and related educational expenses.
"Some employers even require you to explore a 401(k) loan before approving a hardship withdrawal." If your plan permits hardship withdrawals, you may be required to provide documentation to support your need for the funds. Some examples are medical bills, invoices from a college or university, and bank statements.
Although a financial need may be immediate and heavy even if it was reasonably foreseeable or voluntarily incurred by the employee, certain expenses do not qualify. For example, For example, expenses for the purchase of a boat or television would generally not qualify for a hardship distribution.

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A Hardship Withdrawal Request is a formal application made by an employee to withdraw funds from their retirement savings plan due to an immediate and pressing financial need.
Generally, any participant in a retirement plan who experiences immediate financial hardship and meets the specific criteria outlined by their plan is required to file a Hardship Withdrawal Request.
To fill out a Hardship Withdrawal Request, an individual typically needs to complete a designated form provided by their retirement plan administrator, detailing their financial need and providing necessary documentation to support their request.
The purpose of a Hardship Withdrawal Request is to allow plan participants to access funds from their retirement account to address urgent financial situations, such as medical expenses, educational costs, or to prevent eviction.
The information that must be reported on a Hardship Withdrawal Request typically includes the participant's personal details, the reason for the withdrawal, the amount requested, and any required documentation that supports the financial need.
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