Form preview

Get the free Hardship Withdrawal Request

Get Form
This document is used to request a hardship withdrawal from a retirement plan, detailing participant information, withdrawal amount, tax withholding instructions, and necessary authorizations.
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign hardship withdrawal request

Edit
Edit your hardship withdrawal request form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your hardship withdrawal request form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing hardship withdrawal request online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use the professional PDF editor, follow these steps below:
1
Set up an account. If you are a new user, click Start Free Trial and establish a profile.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit hardship withdrawal request. Replace text, adding objects, rearranging pages, and more. Then select the Documents tab to combine, divide, lock or unlock the file.
4
Get your file. Select your file from the documents list and pick your export method. You may save it as a PDF, email it, or upload it to the cloud.
pdfFiller makes working with documents easier than you could ever imagine. Try it for yourself by creating an account!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out hardship withdrawal request

Illustration

How to fill out Hardship Withdrawal Request

01
Obtain the Hardship Withdrawal Request form from your retirement plan administrator.
02
Carefully read the instructions provided with the form.
03
Fill in your personal information, including your name, address, and account number.
04
Specify the reason for your hardship withdrawal by checking the appropriate box or providing a detailed explanation.
05
Attach any required documentation that supports your request, such as bills or proof of financial hardship.
06
Review your completed form to ensure all information is accurate and complete.
07
Sign and date the form where indicated.
08
Submit the form and supporting documentation to your plan administrator via the specified method (mail, email, etc.).

Who needs Hardship Withdrawal Request?

01
Individuals experiencing financial difficulties who need to access their retirement funds due to specific hardships, such as medical expenses, education costs, or preventing eviction or foreclosure.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.7
Satisfied
60 Votes

People Also Ask about

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.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

A Hardship Withdrawal Request is a formal application submitted by individuals to withdraw funds from their retirement accounts due to immediate and pressing financial needs that qualify as hardships.
Any individual who wishes to withdraw funds from their retirement account due to qualifying financial hardships is required to file a Hardship Withdrawal Request.
To fill out a Hardship Withdrawal Request, individuals typically need to complete a designated form provided by their retirement plan administrator, detailing their personal information, the amount requested, and the nature of the hardship.
The purpose of a Hardship Withdrawal Request is to allow individuals facing severe financial difficulties to access their retirement funds without incurring penalties, provided the withdrawal meets specific criteria.
The information that must be reported on a Hardship Withdrawal Request typically includes personal identification details, the specific financial hardship being faced, the amount of the withdrawal requested, and supporting documentation validating the hardship.
Fill out your hardship withdrawal request online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.