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403(b) Distribution/Rollover Authorization Form
Participant Instructions
The 403(b) Distribution/Rollover Authorization Form must be submitted to National Benefit Services, LLC (NBS), the third party
administrator,
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How to fill out 403b distributionrollover authorization form

How to Fill Out the 403b Distribution/Rollover Authorization Form:
01
Obtain the form: Contact your employer's HR department or retirement plan administrator to request the 403b distribution/rollover authorization form. They will likely provide you with a physical copy or direct you to an online version.
02
Complete personal information: Start by filling in your personal information, including your full name, address, social security number, and contact details. Ensure that the information provided is accurate and up to date.
03
Specify distribution or rollover: Indicate whether you are requesting a distribution or a rollover from your 403b account. A distribution refers to receiving a lump sum or regular payments from your retirement account, while a rollover involves transferring funds from your 403b to another qualified retirement plan.
04
Provide account details: Enter your 403b account information, including the name of the plan, account number, and any other requested details. This information helps ensure that the funds are accurately withdrawn or transferred.
05
Choose tax withholding: Decide on the amount you would like to have withheld for federal and state income taxes, if applicable. You can specify a percentage or a specific dollar amount to be withheld. It's advisable to consult with a tax professional to determine the appropriate withholding amount based on your individual circumstances.
06
Decide on payment method: If you are requesting a distribution, indicate how you would like to receive the funds. Options may include a direct deposit into your bank account, receiving a paper check, or transferring the funds to another financial institution.
07
Attach necessary documentation: Depending on your specific situation and the requirements of your employer's retirement plan, you may need to provide additional documentation. This can range from a copy of a marriage certificate for spousal consent to a certified birth certificate for beneficiary designations. Make sure to review the instructions carefully and include any requested paperwork.
08
Review and sign: Read through the entire form, ensuring that all the information provided is accurate and complete. Once satisfied, sign and date the form in the designated areas. Failure to sign the form may result in a delay or rejection of your request.
09
Submit the form: Follow the instructions provided on the form to submit it to the appropriate party. This may involve mailing it to your employer's HR department or retirement plan administrator, or submitting it electronically through an online portal.
10
Keep a copy for your records: Make a copy of the completed form for your own records before sending it off. It's always a good idea to have a copy on hand in case any questions or issues arise in the future.
Who Needs the 403b Distribution/Rollover Authorization Form?
01
Employees with a 403b retirement account: Anyone who has a 403b retirement account through their employer needs to fill out the distribution/rollover authorization form if they plan to make distributions or rollovers from their account.
02
Individuals seeking to withdraw funds: If you need to withdraw funds from your 403b account for any reason, such as retirement or financial hardship, you will need to complete this form to initiate the process.
03
Those looking to transfer funds to another retirement plan: If you wish to roll over your 403b funds to another eligible retirement account, such as an IRA or a new employer's retirement plan, you will need to provide the necessary details on this form to authorize the transfer.
Overall, the 403b distribution/rollover authorization form is essential for individuals with a 403b retirement account who want to make distributions or rollovers from their account, helping ensure that the correct funds are withdrawn or transferred according to their instructions.
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What is 403b distributionrollover authorization form?
The 403b distribution/rollover authorization form is a document that allows an individual to request a distribution or rollover of funds from their 403b retirement account.
Who is required to file 403b distributionrollover authorization form?
Any individual who wishes to take a distribution or rollover funds from their 403b retirement account is required to file the 403b distribution/rollover authorization form.
How to fill out 403b distributionrollover authorization form?
The 403b distribution/rollover authorization form typically requires the individual to provide personal information, account details, the desired distribution amount, and the reason for the distribution or rollover.
What is the purpose of 403b distributionrollover authorization form?
The purpose of the 403b distribution/rollover authorization form is to facilitate the process of taking a distribution or rollover of funds from a 403b retirement account while ensuring that the necessary information is provided.
What information must be reported on 403b distributionrollover authorization form?
The 403b distribution/rollover authorization form usually requires information such as the individual's name, address, Social Security number, account number, distribution amount, and reason for the distribution/rollover.
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