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457(b) UNFORESEEABLE EMERGENCY WITHDRAWAL Participant Social Security Number Address City Phone Account Number Employer State Zip Code Amount Required (Not to exceed the amount of the emergency) NOTICE
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How to fill out notice regarding unforeseeable emergency:

01
Begin by stating your name, address, and contact information clearly at the top of the form.
02
Provide a brief yet detailed description of the unforeseeable emergency that has occurred, including the date and time it occurred, as well as the nature of the emergency.
03
If applicable, mention any attempts made to resolve the emergency or mitigate its impact.
04
Include any supporting documentation or evidence related to the emergency, such as photographs, medical reports, or police reports.
05
Indicate the potential impact of the emergency on your ability to meet your contractual obligations or responsibilities.
06
Clearly state the actions you have taken or plan to take to address the emergency and minimize any further impact.
07
If necessary, provide contact information for any relevant authorities or emergency response organizations.
08
Sign and date the notice at the bottom, and consider keeping a copy for your records.

Who needs notice regarding unforeseeable emergency:

01
Employees who are unable to attend work due to an unforeseeable emergency.
02
Tenants who need to inform their landlords or property managers about an unexpected situation affecting their ability to occupy or maintain the premises.
03
Contractors or service providers who cannot fulfill their contractual obligations due to an unforeseeable emergency.
04
Students who are unable to attend classes or complete assignments due to an unforeseen event.
05
Any individual or organization required to provide notice to relevant parties in the event of an unforeseeable emergency as specified by an agreement, contract, or legal requirement.
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Notice regarding unforeseeable emergency is a written notice that must be provided to the plan administrator for a 401(k) or 403(b) plan in the event of an unforeseeable emergency in order to receive a distribution from the plan.
The participant or beneficiary who is requesting a distribution from a 401(k) or 403(b) plan due to an unforeseeable emergency is required to file the notice regarding unforeseeable emergency.
The notice regarding unforeseeable emergency should include specific information about the emergency, such as the nature of the emergency, the amount needed, and how the funds will be used to alleviate the emergency.
The purpose of notice regarding unforeseeable emergency is to provide documentation and justification for a distribution from a retirement plan in the event of an unforeseeable emergency.
The notice regarding unforeseeable emergency must include details about the emergency, the amount being requested, and how the funds will be used to address the emergency.
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