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Get Urs Dcwd 17 Form

DCWD-17 Rev. 5/19/2006 DC Special Tax Notice rev. 4/17/2013 SUBSTITUTE W-4P WITHHOLDING CERTIFICATE FOR URS SAVINGS PLANS 401 k 457 Roth IRA Traditional IRA. 4. Return the completed form s to Utah Retirement Systems. 401 k HARDSHIP WITHDRAWAL APPLICATION SECTION A - PARTICIPANT INFORMATION Name First Middle Last SSN or Account Mailing Address Daytime Phone Number City State Zip Employer/Department SECTION B - WITHDRAWAL REQUEST I am applying for .

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