Follow the steps to successfully complete the online form

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Identify the plan type you are requesting a payout for by selecting the appropriate checkbox: 457, 403(b), 401(k), or 401(a).
3. Indicate the reason for your payout request by checking the relevant box: Termination of Employment/Retirement/Disability or Attainment of age 59 1/2 (only applicable for 401(k) or 403(b)).
4. In Section I, provide your participant information, including your name, social security number, mailing address, phone number, date of birth, and sex by selecting the appropriate checkbox.
5. Section II requires authorization from your payroll/personnel department if this is your initial payout request. Ensure they complete the section, including the termination date and their signature.
6. In Section III, provide beneficiary information. Check if this is a change of beneficiary and fill in the required details for each beneficiary, ensuring the percentage splits total 100%.
7. Complete Section IV where you will select your desired withdrawal options. You may choose between partial or full lump sum, systematic withdrawal frequencies, and if applicable, purchased annuities.
8. In Section V, review and certify that you have read the “Special Tax Notice Regarding Plan Payments.” Initial if you elect to waive the 30-day notice period and provide your signature.
9. Once you have filled in all necessary sections, review your form for accuracy. You can save your changes, download the completed form, print it, or share it as needed.

Take action today and complete your Maryland Supplemental Retirement Plan Payout Request Form online.