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HARTFORD
Our thoughts are with all of the families and individuals
who have been affected by the San Diego County wildfires. Loans and
hardship withdrawals are available under the Deferred Compensation Program.
Click here for more information.
Form Fill-in Feature. These forms can be filled in online and
printed out for mailing to the Treasurer Tax-Collector. Click
here for instructions on how to complete fill in forms.
Hartford 401a Forms:
- Enrollment Kit - may be obtained by calling (619) 531-5840.
You must complete the Participant Record, Beneficiary Designation/Spousal
Consent Form, Release, Hold Harmless and Contribution Election Forms
to enroll in the plan. All forms must be submitted to the Deferred Compensation
Office, Mail Stop A-49 for processing. Please include your telephone
number and use black ink.
- Name & Address Change Form
- To change name or address.
- Beneficiary Designation/Spousal Consent
- To change beneficiary designation. Spousal consent required
if beneficiary is other than spouse.
- Hardship Certification
- To suspend payroll deduction for a minimum of six months
- Rollover Submission - To rollover a qualified Retirement Plan under section 401(a) of the Internal Revenue Code from another plan.
- Distribution Forms
- Special
Tax Notice Regarding Plan Payments - This is a notice of information
needed before deciding how to receive the plan benefits. This includes consideration of rollovers.
- Benefit Payment Request - Accompanied
by Full Disclosure Statement
- Provider to Provider
Account Transfer - To transfer account balance from T. Rowe
Price to Hartford,and vice versa.
- Electronic Funds Transfer Authorization Agreement
- Hartford will access additional charge for this service.
Please call Hartford to confirm the amount. Call 1-800-528-9009.
- Investment Election Change/Transfer Request - Call plan provider
@ 1-800-528-9009
- Loan Application & Agreement - May be obtained by calling 1-800-528-9009.
- Loan
Spousal Consent - May be obtained by calling 1-800-528-9009.
Hartford 457 Forms:
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