State Employees

Forms

Colorado PERAChoice Years 2–5 Change/Transfer Form

Colorado PERA 401(k) Loan Partial Prepayment Form

Colorado PERA 401(k) Hardship Withdrawal Request

Colorado PERA 457 Unforeseeable Emergency Withdrawal Request

Third Party Trading Form for TD Ameritrade

Colorado PERA 457 Plan Deferral Form

401(k) Participant Information Form

Colorado PERA 457 Plan Loan Partial Prepayment Form

Colorado PERA 457 Plan Termination Notification Form

Colorado PERA 457 Plan Rollover Form

Colorado PERA 401(k) Loan Verification Form

Colorado PERA 457 Plan Special Catch-Up Form

Virginia 457(b) Deferred Compensation Plan Enrollment Form

Virginia 457 Deferred Compensation Standard Catch-Up Forms

Virginia Death Benefit Claim Form

Virginia 401(a) Plan Distribution Request

Virginia 457 Deferred Compensation Plan Application

Virginia 457 Deferred Compensation Payroll Authorization

Virginia 457 Plan Unforeseeable Emergency Withdrawal Application

Virginia 457 Deferred Compensation Payroll Authorization Form

Virginia Death Benefit Claim Form

Virginia 401(a) Plan Distribution Request

Virginia 457 Deferred Compensation Payroll Authorization

Virginia 457 Deferred Compensation Plan Payroll Authorization Form

Texa$aver Beneficiary Form

Three-Year Catch-Up Provision Agreement

Texas Hardship Withdrawal Form

Texa$aver 401(k) Plan Enrollment Form

ING Income Provider Texa$aver Plan

Texa$aver 401(k) Rollover Form

Texa$aver 457 Plan Enrollment Form

Model QDRO for Texa$aver 401(k) Plan

De Minimis Distribution Election Form

Plan-to-Plan Transfer Form

Kentucky Roth IRA Conversion Form

Kentucky Beneficiary Designation Form

401k Hardship Claim Form

Roth 401(k) Distribution/Rollover Request Form

Kentucky 401(k) Rollover Form

Kentucky Public Employees’ Pre-Tax Participation Agreement

Kentucky Deemed IRA Withdrawal Form

Kentucky Public Employees Deferred Compensation Election Form

Kentucky Roth 401(k) Participation Agreement

Kentucky 401(k) Deemed IRA Transfer/Rollover Form

457 Pre-Tax Distribution/Rollover Request Form

457 Plan-to-Plan Transfer Form

401(k) Plan Financial Hardship Withdrawal Request

Rollover Contribution Form

Michigan Beneficiary Designation Form

401(k) Rollover Contribution Form

401(k) Plan Financial Hardship Withdrawal Request

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