Alternate Payee Distribution Request

The Form is divided into several sections, with each section requiring you to provide information or make an election regarding your distribution.

The sections on the Form are:

  • Alternate Payee Information
  • Distribution Method
  • Distribution Delivery
  • Federal and State Income Tax Withholding
  • Signature and Consent

Note: If your qualified domestic relations order pertains to more than one account or plan number, you must complete a separate Form for each account or plan number.