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OF 1974 Internal Revenue Service Code, Section 401(a). AUTHORITY: PRINCIPAL PURPOSE: The information you provide is for the purpose of preparing a refund of contribution or to process a retirement annuity. ROUTINE USES: For terminating employees, the information is used to prepare a refund or a deferred annuity as requested. For retiring employees, the information is used to process a monthly annuity payment thereafter. For survivors, the information is used to process survivor benefits. DIS.

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  1. Press the ‘Get Form’ button to access the Sxenxx and open it within the online editor.
  2. Begin filling out Section I - General Information. Provide your full name, social security number, date of birth, mailing address, email address, telephone and fax numbers, service computation date, date of separation, accumulated sick leave hours, and details of your employing Nonappropriated Fund (NAF). Ensure all information is accurate to avoid processing delays.
  3. Indicate your marital status by checking the appropriate box. If you are married, fill in the name, social security number, date of birth, and date of marriage of your legal spouse.
  4. In Section II - Retirement Fund Options, select one of the provided options regarding your retirement benefits. Make sure to carefully read each choice to understand its implications on your contributions.
  5. Sign and date the form in Section III - Employee's or Survivor Signature. If the form is being completed by a survivor, they should provide their signature and date as well.
  6. In Section IV, verify the information by completing the required data fields. This includes the signature of the verifying official, the date, mailing address, and email address if applicable.
  7. Once all sections are completed and verified, you can save changes, download, print, or share the form as needed.

Complete your Sxenxx form online now to ensure your retirement benefits are processed efficiently.

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