Get Persiidahogov Form

This guide offers a detailed overview of filling out the Persiidahogov Form online. It is designed to assist users in accurately completing the form, ensuring that all necessary information is provided for the withdrawal of PERSI Base Plan contributions and interest upon termination of employment.

Follow the steps to successfully complete your Persiidahogov Form.

1. Begin by locating the ‘Get Form’ button. Click on this button to access the Persiidahogov Form and open it in your preferred online editor.
2. Fill in your member information, including your name (first, middle, last), social security number, mailing address, city, state, zip code, daytime phone number (with area code), email address, marital status, date of birth, and date of termination from your PERSI employment.
3. Indicate the name of your last PERSI employer. If you have changed your address, select the ‘Yes’ option, otherwise select ‘No’.
4. Choose one of the withdrawal options provided: A) to receive all contributions and interest, B) to transfer contributions to another eligible retirement plan or IRA, or C) to transfer a specific amount of contributions while receiving the balance.
5. If selecting options B or C, provide the required details regarding the IRA or retirement plan, including the account number, name of the IRA or retirement plan, trustee or custodian name, plan phone number, and mailing address.
6. Review and confirm all data entered in the member acknowledgment and certification section. Ensure that you understand the implications of withdrawing your PERSI Base Plan funds.
7. Sign and date the form. If you are married, your spouse must also acknowledge and sign the form, which requires notarization.
8. Send the completed pages 1 and 2 of the form to PERSI at the provided address. Remember not to submit the form until after your termination date.
9. After submission, you can save any changes, download a copy for your records, print the form, or share it as needed.

Start filling out your Persiidahogov Form online today to manage your PERSI Base Plan withdrawal effectively.