Transcription of Separation from Employment Withdrawal Request …
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Separation from Employment Withdrawal Request …
Separation from Employment Withdrawal RequestGovernmental 457(b) PlanSTD FSPSRV ][05/11/17)(98993-01 WITHDRAWALNO_GRPG 58070/][GU22)(/][GP22 DOC ID: 483027898)(Page 1 of 16 CERF Savings Plan - 457 Plan98993-01 When would I use this form ?When I am requesting a Withdrawal and I am no longer employed by the employer/company sponsoring this Information For purposes of this form , the terminology ' Separation ' is the same as 'Severance', ' Employment ' is the same as 'Service' and ' Withdrawal ' is thesame as 'Distribution'. By logging into my account on the website at , I may confirm the address that is on file and track the statusof this Withdrawal Request . For questions regarding this form , refer to the attached Participant Withdrawal Guide ("Guide"), visit the website at or contact Service Provider at 1-800-701-8255. Return Instructions for this form are in Section H. Use black or blue ink when completing this is my personal information?(Continue to the next section after completing.)
Separation from Employment Withdrawal Request Governmental 457(b) Plan STD FSPSRV ][05/11/17)(98993-01 WITHDRAWALNO_GRPG 58070/][GU22][GP22DOC ID: 483027898 Page 1 of 16 CERF Savings Plan - 457 Plan 98993-01
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