Get Hardship Application - Spectrum Employee Benefits

This guide will assist you in completing the Hardship Application for Spectrum Employee Benefits online. Follow the instructions carefully to ensure your application is filled out accurately and submitted correctly.

Follow the steps to complete your hardship application efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the relevant editor.
2. Begin by entering your full name in the 'Employee Full Name' field to identify yourself clearly.
3. Enter your Social Security number in the designated field, ensuring accuracy to avoid processing delays.
4. Fill in your address, including the city, state, and zip code, to help with identification and correspondence.
5. Input your date of birth and date of hire to validate your employment status and eligibility.
6. Indicate the date you are requesting the hardship withdrawal by filling out the 'Hardship Request Date' field.
7. Select all applicable reasons for your hardship by checking the appropriate boxes listed in the 'Reason for Hardship' section.
8. Specify the amount you wish to withdraw from your vested account balance in the 'Amount Requested' section.
9. Review the certification statements provided and ensure you meet all the qualifications before signing.
10. Choose how much federal and state income tax, if any, you would like withheld from your hardship distribution.
11. Sign and date the form to confirm your understanding of the terms and submit it to your employer for processing.
12. Once submitted, you may save changes, download a copy for your records, print it, or share it as necessary.

Complete your hardship application online today to ensure prompt processing of your request.