REFUND OF ACCUMULATED CONTRIBUTIONS Member s Name: Member s Mailing Address: SECTION I CERTIFICATION OF TERMINATION Date: To the Board of Trustees: I, (Print Name), whose Social Security Number is - - , hereby make application for the return of the amount of contributions heretofore made by me to the New Hampshire Retirement System (NHRS), including contributions made to a predecessor system, together with allowable interest credi.
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How to fill out the Refund Application - New Hampshire Retirement System online
This guide provides a clear and supportive overview for users seeking to complete the Refund Application for the New Hampshire Retirement System online. It outlines each section of the application and offers step-by-step instructions to ensure a smooth process.
Follow the steps to effectively complete your refund application.
- Click the ‘Get Form’ button to access the Refund Application for the New Hampshire Retirement System. This will allow you to open the form for completion.
- Begin by providing your personal information in the designated fields, including your name and mailing address. Ensure that all information is accurate to avoid delays.
- In Section I, Certification of Termination, accurately fill out your termination details, including your job title and the agency where you were employed. Do not forget to indicate your classification as an employee, teacher, police officer, or firefighter.
- If applicable, list any prior names you have used since enrolling in the New Hampshire Retirement System. This ensures that your records are correctly identified.
- Review the understanding statements regarding the withdrawal of contributions and membership termination. It's important to fully grasp the implications of your application.
- Move to Section II, Distribution Election. Specify how you want your accumulated contributions to be distributed, choosing between cash or a trustee-to-trustee transfer. Be mindful of tax implications and select the option that best suits your financial situation.
- In Section III, certification and signature, confirm the accuracy of the information provided in Section I. Sign and date the application at the designated areas.
- If required, Section IV will need to be completed by your employer, detailing your termination pay and final compensation. Ensure that this section is filled out accurately for processing.
- Upon completing all sections, save your changes to the application. You will have the option to download, print, or share the form as necessary to finalize your submission.
Start your refund application online today to ensure a timely and efficient processing of your request.
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