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PLEASE REVIEW YOUR PLAN'S HARDSHIP WITHDRAWAL …

HARDSHIP Distribution Request Formfor active employees who have a qualifying HARDSHIP eventUse this form if you want to: request a distribution due to financial HARDSHIP Do not use this form to: request any distribution option other than a HARDSHIP request that may be available to an active employee. See your Plan Administrator for details. Important Note: The terms and availability of HARDSHIP distributions vary by plan. PLEASE check with your plan sponsor/employer to obtain information regarding any applicable restrictions and to help determine your eligibility for a HARDSHIP distribution prior to completing this form. Depending on the requirements applicable to your plan, you may need to provide certain supporting documentation in connection with your HARDSHIP WITHDRAWAL request. PLEASE see the Important Information Section for documentation guidelines.

important reminder: please review your plan's hardship withdrawal processing updates under the bipartisan budget act of 2018 (if applicable to your plan) prior to

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