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DCP In-Service Withdrawal Request form

In-Service Withdrawal Request governmental 457(b) Plan Washington State Deferred Compensation Program 98953-01. When would I use this form ? When I am requesting a Withdrawal and I am still employed by the employer sponsoring this Plan. Additional Information For purposes of this form , the terminology ' Withdrawal ' is the same as 'Distribution'. By logging into my account on the website at , I may track the status of this Withdrawal Request . For questions regarding this form , refer to the attached Participant Withdrawal Guide ("Guide"), or contact the Record Keeper at 1-888-327-5596. Return Instructions for this form are in Section H. Use black or blue ink when completing this form . A What is my personal information? (Continue to the next section after completing.). Account extension, if applicable, identifies funds transferred to a beneficiary due to participant's - - death, alternate payee due to divorce or a participant with multiple accounts.

NO_GRPG 57617/ GU22 / GP22 DOC ID: 543768628 Page 1 of 17 STD FINSRV 07/31/18 98953-01 WITHDRAWAL In-Service Withdrawal Request Governmental 457(b) Plan

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