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457(b) Distribution/Rollover Authorization Form Participant The 457(b) Distribution/Rollover Authorization Form must be submitted to National Benefit Services, LLC (NBS), the third party administrator,.

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How to fill out the Distribution Authorization Form - National Benefit Services LLC online

The Distribution Authorization Form is essential for authorizing a distribution or rollover of 457(b) amounts from your employer's plan. This guide provides a clear, step-by-step process to help you fill out the form correctly online, ensuring your submission meets all requirements.

Follow the steps to complete the form efficiently.

  1. Click ‘Get Form’ button to access the Distribution Authorization Form and open it in the editor.
  2. Begin by filling out your employer or former employer's name in the designated field. Ensure that the name is accurate, as it establishes the context of your withdrawal or rollover request.
  3. Enter your personal information, including your name, mailing address, Social Security Number, date of birth, and contact numbers. Double-check this information for accuracy, as it is crucial for processing your request.
  4. Select the applicable reason(s) for your withdrawal. You must indicate the date of the event for each reason selected. If none of the options apply, you may need to consult your investment provider regarding alternative options.
  5. Indicate the investment provider that holds your assets. Provide the account number and the contact information for the provider. This will ensure that your request is sent to the correct institution.
  6. Review the acknowledgment statement regarding the release of information, and ensure you understand your rights. It is important that you agree to the sharing of necessary information to administer the plan.
  7. Sign and date the form. If the participant is deceased, the beneficiary should sign. Both signatures are required to process this form.
  8. After completing all the fields, save changes to the form, and ensure you have a copy for your records. You can then download, print, or share the completed form as needed.

Complete your Distribution Authorization Form online today to manage your benefits efficiently.

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