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REQUEST FOR MODEL/SAMPLE QUALIFIED DOMESTIC RELATIONS ORDER (QDR) The Motion Picture Industry Pension Plan and the Motion Picture Industry Individual Account Plan (Plans) are both qualified plans.

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1. Begin by downloading the qdro-rqstformpub - mpiphp form from the appropriate source.
2. Carefully read through the instructions provided on the form to ensure you understand the requirements and necessary information.
3. Start by entering your personal details, such as your name, address, and contact information, in the designated sections of the form.
4. Provide any required identification numbers, such as your social security number or employee ID, if applicable.
5. If you are representing someone else, indicate your relationship to the individual and include their personal details as well.
6. Fill in the relevant information regarding the retirement plan in question, including the plan name, account number, and other necessary identification details.
7. Provide details regarding the specific benefits you are seeking through the Qualified Domestic Relations Order (QDRO), such as the division of retirement benefits or related matters.
8. If you have any additional notes or requests, you can include them in the designated section of the form.
9. Once you have completed all the required sections, review the form for accuracy and completeness.
10. Sign and date the form as indicated to affirm the accuracy of the information provided.
11. If necessary, make copies of the completed form for your records.
12. Submit the filled-out qdro-rqstformpub - mpiphp form to the appropriate recipient or organization, following the instructions provided.

Who needs qdro-rqstformpub - mpiphp:

1. Individuals who are seeking to divide retirement benefits through a QDRO as part of a divorce settlement may need this form.
2. Attorneys or legal representatives assisting clients in such matters may also need this form to accurately document and submit the necessary information.
3. Individuals who are retiring or have other circumstances that require the division or adjustment of retirement benefits may also need to fill out this form.

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