Transcription of Disability Withdrawal Request 401(k) Plan
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Disability Withdrawal Request 401(k) Plan
Disability Withdrawal Request401(k) PlanSTD FDSTDB ][04/07/17)(98960-01 WITHDRAWALNO_GRPG 421/][GU22)(/][GP22 DOC ID: 477279085)(Page 1 of 19 Texa$aver 401(k) Plan98960-01 When would I use this form?When I am requesting a Withdrawal due to my Disability or making a change to an existing periodic installment payment due to Disability . If my Withdrawal is for any reason other than Disability or if I am age 59 or older, I would need to complete either the In-Service Withdrawal Request ,if I am still employed with the Employer/Company sponsoring this Plan, or the Separation from Employment/Retirement Withdrawal Request , if I amno longer working for the Employer/Company sponsoring this Information For purposes of this form, the terminology ' Withdrawal ' is the same as 'Distribution'. I may confirm the address that is on file and track the status of this Withdrawal Request by logging into my account on the website at For questions regarding this form, refer to the attached Participant Withdrawal Guide ("Guide"), visit the website at or contactService Provider at 1-800-634-5091.
Disability Withdrawal Request 401(k) Plan STD FDSTDB ][04/07/17)(98960-01 WITHDRAWALNO_GRPG 421/][GU22][GP22DOC ID: 477279085 Page 1 of 19 Texa$aver 401(k) Plan 98960-01 When would I use this form?
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