Fidelity Hardship Distribution Request Form Guide
This document provides guidelines for requesting a cash distribution due to hardship from your retirement plan. It outlines the necessary eligibility criteria and documentation needed for a successful request. Ideal for current employees seeking financial assistance through their workplace retirement plans.
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How do I fill this out?
To fill out the Fidelity Hardship Distribution Request form, begin by carefully reading the instructions provided. Ensure all required information is entered accurately in CAPITAL letters using black ink or on your screen. Finally, review your entries before submitting the form to avoid processing delays.

How to fill out the Fidelity Hardship Distribution Request Form Guide?
1
Read the conditions and eligibility criteria carefully.
2
Fill in your personal information, ensuring accuracy.
3
Select the reason for your distribution from the provided options.
4
Confirm the distribution amount and tax withholding preferences.
5
Submit the completed form as instructed.
Who needs the Fidelity Hardship Distribution Request Form Guide?
1
Current employees facing financial difficulties needing access to their retirement funds.
2
Individuals recently affected by a disaster, requiring immediate cash support for recovery.
3
Employees with urgent tuition payment obligations for themselves or dependents.
4
Those experiencing medical expenses that are not covered by insurance.
5
Spouses of plan participants who may need to consent to distributions.
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Review your modifications to ensure accuracy.
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What are the instructions for submitting this form?
To submit the Fidelity Hardship Distribution Request form, ensure your form is fully completed and signed. You can fax it to your plan sponsor's fax number, or email it to the dedicated address provided by your plan. Additionally, verify if online submission is available for your plan to expedite the process.
What are the important dates for this form in 2024 and 2025?
Important dates for submitting your hardship distribution requests include quarterly review periods set by your employer's retirement plan. Ensure you are aware of any upcoming deadlines that may affect your application process in 2024 and 2025. Check with your plan sponsor for specific calendar dates related to your plan.

What is the purpose of this form?
The purpose of this form is to provide individuals with a structured method to request cash distributions from their retirement accounts due to financial hardship. It ensures that employees follow the required protocols while clearly stating their needs and reasons for withdrawal. Through this form, plan sponsors can manage requests efficiently and ensure compliance with federal regulations regarding withdrawals.

Tell me about this form and its components and fields line-by-line.

- 1. Account Owner/Participant: This section requires the account owner's name and contact details.
- 2. Plan Involved: Details about the retirement plan and its identification number are captured here.
- 3. Reason for Distribution: Participants must select or specify the reason for their withdrawal from the plan.
- 4. Distribution Amount: The amount requested for distribution is recorded in this field.
- 5. Delivery Method: Users can select their preferred method for receiving their funds.
- 6. Spouse's Consent: This is necessary if the account owner is married and certain conditions apply.
What happens if I fail to submit this form?
Failure to submit this form may result in delayed access to your retirement funds. It is crucial to ensure all required fields are filled accurately as incomplete forms may lead to automatic rejection. Additionally, missing documentation may further complicate the submission process and result in increased processing times.
- Incomplete Information: Submitting a form with missing information will lead to delays.
- Missing Documentation: Lack of required supporting documents can cause a denial of your request.
- Signature Issues: Failure to provide a proper signature may invalidate the form.
How do I know when to use this form?

- 1. Medical Emergencies: To cover urgent medical expenses not paid by insurance.
- 2. Home Repairs: To pay for necessary repairs to avoid foreclosure or eviction.
- 3. Education Costs: To fund tuition or fees for dependent children.
Frequently Asked Questions
How do I access the Fidelity Hardship Distribution Request form?
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Yes, PrintFriendly allows you to edit your PDF document with ease using the provided editing tools.
What information do I need to fill out this form?
You will need personal information, your plan details, and the reason for your hardship withdrawal.
Is there a deadline for submitting this form?
The form should be submitted as soon as possible to facilitate timely processing of your request.
How do I save the changes I made to the PDF?
After editing, you can download the updated document directly to your device.
Can I share this PDF with others?
Absolutely! PrintFriendly provides options to share your edited PDF with anyone via a shareable link.
What if I forget to sign the PDF?
It's crucial to sign the document before submission, as unsigned forms may be rejected.
What happens if my hardship request is denied?
If denied, you may seek clarification from your plan sponsor regarding the reasons for the denial.
Can I submit this form online?
Yes, you can fill out the form online using our PDF editor and then submit it as per the given instructions.
What support is available if I have questions about filling out the form?
You can contact Fidelity customer service for assistance at 1-800-343-0860.
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