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This form allows participants to request a hardship withdrawal from their employee deferral account due to financial need, requiring documentation of the hardship.
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How to fill out hardship withdrawal request

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How to fill out Hardship Withdrawal Request

01
Step 1: Obtain the Hardship Withdrawal Request form from your plan administrator.
02
Step 2: Read the instructions carefully to understand the eligibility criteria.
03
Step 3: Fill in your personal information, including your name, address, and account number.
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Step 4: Provide a detailed explanation of the financial hardship you are experiencing.
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Step 5: Attach any required documentation that supports your claim of hardship.
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Step 6: Sign and date the form to certify that the information provided is accurate.
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Step 7: Submit the completed form and documentation to your plan administrator.

Who needs Hardship Withdrawal Request?

01
Individuals facing immediate financial difficulties due to circumstances such as medical expenses, home foreclosure, or education costs.
02
Participants in retirement plans who require access to their funds before retirement age for specific qualified hardships.
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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 submitted by an employee to withdraw funds from their retirement account due to an immediate and urgent financial need.
Typically, employees who are facing significant financial difficulties and need to access their retirement savings before retirement age are required to file a Hardship Withdrawal Request.
To fill out a Hardship Withdrawal Request, an employee must complete a specific form provided by their retirement plan administrator, detailing their financial situation and the reasons for the withdrawal.
The purpose of a Hardship Withdrawal Request is to provide a mechanism for employees to access a portion of their retirement savings in order to alleviate financial distress caused by circumstances such as medical expenses, housing costs, or education expenses.
The information that must be reported on a Hardship Withdrawal Request typically includes the employee's personal details, the nature of the financial hardship, the amount requested, and supporting documentation that verifies the claim.
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