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HART 457(b) FORMS

 
HART 457(b) Forms

Important News - Editable Forms are here!

In order to serve you better, HART's forms are now editable. With an editable form, you can enter the required information using your computer or other device* instead of writing your responses by hand. The completed form can then be printed, signed and submitted to HART for processing.

By submitting forms that were filled in using your computer or other device, you help to reduce the errors and confusion that can sometimes occur with hand-written responses. This allows us process your forms more quickly and efficiently, and to provide better service for you!

Editable Form This icon in the list below indicates the form is editable.

* Note: To use an editable form, you may need to install the latest version of Adobe® Reader® software on your device. To download this free software, follow the link at the bottom of this page.

Form Name Description
Editable Form Enrollment Enrollment Form For the 457(b) Plan
Editable Form Beneficiary Designation Beneficiary Designation Form for the 457(b) Plan
Editable Form Change Change Form for the 457(b) Plan
Editable Form Change of Address Change of Address Form for the 457(b) Plan
Editable Form Hardship Withdrawal Package Hardship Withdrawal Form Package for the 457(b) Plan. Includes the Hardship Withdrawal Form and the Special Tax Notice.
Editable Form Termination Termination Form for the 457(b) Plan

To find the latest version of Adobe® Reader® software click on the image below.

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