Follow the steps to complete your form online.

1. Click ‘Get Form’ button to access the Nationwide PNF-0422AO document and open it in your preferred online editor.
2. In the ‘Nationwide Plan Information’ section, fill out the plan number and plan name as applicable. Ensure that this information is accurate to avoid processing delays.
3. Proceed to the ‘Participant Information’ section. Here, you will provide your full name, social security number (SSN), phone number, date of birth, date of hire, mailing address, city, state, zip code, and email address. Double-check for any typos or missing information.
4. Next, move to the ‘Rollover/Transfer Information’ section. Determine whether you have completed all requirements with your prior provider/custodian. If yes, you can skip to the next steps; if no, answer the subsequent questions about their specific requirements.
5. Address whether the provider/custodian requires their own paperwork and whether they accept Nationwide's paperwork. Continue detailing their requirements, including the necessity of original signatures, acceptance of electronic signatures, and if a letter of acceptance is needed.
6. In the ‘Submission Information’ section, make sure to write your check payable to Nationwide Financial. Include your plan number and the last four digits of your SSN in the memo section. Fill in the appropriate mailing addresses based on how you will submit your form.
7. Complete the ‘Rollover/Transfer Details’ section with your participant information as well as the details of your prior provider/custodian including their contact information and account type. Specify if your rollover/transfer is partial or total and include the estimated amounts.
8. Fill out the ‘Investment Direction’ section according to your preferences. If you have specific instructions on how the assets should be applied, indicate them clearly.
9. Sign and date the ‘Plan Sponsor/Authorized Representative Signature’ section to authorize the rollover/transfer request, ensuring that all information is accurate.
10. In the ‘Participant Authorization’ section, certify that the information and amounts you provided are correct and sign this section as well. If required, include a Medallion Signature Guarantee.
11. Finally, review all entries one last time for accuracy. Once complete, save your changes, and consider your options to download, print, or share the form with the necessary parties.

Complete your Nationwide PNF-0422AO form online today for a seamless rollover experience.