Virginia Defined Contribution Plans

	457 Deferred Compensation Plan
	• Participant Enrollment 457/401(a) Form 327kb • Beneficiary Form 457/401(a) Plan 119kb • In-coming Plan-to-Plan Transfer Form 114kb • Personal Information Change Request for Inactive Wage/Part Time Employees 623kb • Payroll Authorization-Agency Transfer Return to Work 53kb • Payroll Authorization-One Time Deferral 79kb • Standard Catch-Up Forms 181kb • Uniformed Service Leave Make-Up Form 92kb (6/12) • Distribution/Direct Rollover/Transfer Request Form 371kb (11/12) • Special Tax Notice 279kb • Electronic Fund Transfers (ACH) 64kb • W-4P Form 256kb • Unforeseen Emergency Withdrawal Form 166kb • Death Benefit Claim Form 209kb • Self-Directed Brokerage Account - Agreement/Release Form 800kb • Commissions and Service Fees 106kb Annuity • Five Annuity Questions 47kb • MetLife Guaranteed Income Program 3.9mb

	Cash Match Plan
	• Participant Enrollment Form 457/401(a) - Cash Match 327kb • Beneficiary Form 457/401(a) Plan 119kb • 401(a) Incoming Transfer/Direct Rollover Form 82kb • Personal Information Change Request for Inactive Wage/Part Time Employees 623kb • Distribution/Direct Rollover/Transfer Request Form 176kb (11/12) • Electronic Fund Transfers (ACH) 62kb • W-4P Form 256kb • Death Benefit Claim Form 209kb • Uniformed Service Leave Make-Up Form 92kb • Self-Directed Brokerage Account - Agreement/Release Form 800kb • Commissions and Service Fees 106kb Annuity • Five Annuity Questions 47kb • MetLife Guaranteed Income Program 3.9mb

	Optional Retirement Plan for Political Appointees (ORPPA)
	• Participant Enrollment Form 401(a) Plan - ORPPA 126kb • Beneficiary Form 401(a) Plan 57kb • 401(a) Incoming Transfer/Direct Rollover Form 80kb • Personal Information Change Request for Inactive Wage/Part Time Employees 623kb • Electronic Fund Transfers (ACH) 62kb • W-4P Form 256kb • Death Benefit Claim Form 409kb • Distribution/Direct Rollover Request Form 212kb • Self-Directed Brokerage Account - Agreement/Release Form 800kb • Commissions and Service Fees 106kb • Certification of Eligibility to Participate 42kb • Termination Certification Form 69kb • Notice of Return to Covered Employment 115kb Annuity • Five Annuity Questions 47kb • MetLife Guaranteed Income Program 3.9mb

	Optional Retirement Plan for School Superintendents (ORPSS)
	• Participant Enrollment Form 401(a) Plan - ORPSS 133kb • Beneficiary Form 401(a) Plan 236kb • 401(a) Incoming Transfer/Direct Rollover Form 80kb • Plan-toPlan Transfer to ORP 80kb • Personal Information Change Request for Inactive Wage/Part Time Employees 623kb • Electronic Fund Transfers (ACH) 62kb • W-4P Form 256kb • Death Benefit Claim Form 409kb • Distribution/Direct Rollover Request Form 212kb • Self-Directed Brokerage Account - Agreement/Release Form 800kb • Commissions and Service Fees 106kb • Certification of Eligibility to Participate 105kb • Termination Certification Form 148 kb • Notice of Return to Covered Employment 115kb Annuity • Five Annuity Questions 47kb • MetLife Guaranteed Income Program 3.9mb

	Virginia Supplemental Retirement Plan
	• Participant Enrollment Form 401(a) - VSRP 129kb • Beneficiary Form 401(a) Plan 236kb • 401(a) Incoming Transfer/Direct Rollover Form 260kb • Personal Information Change Request for Inactive Wage/Part Time Employees 623kb • Electronic Fund Transfers (ACH) 64kb • W-4P Form 256kb • Death Benefit Claim Form 408kb • Distribution/Direct Rollover Request Form 212kb • Self-Directed Brokerage Account - Agreement/Release Form 800kb • Commissions and Service Fees 106kb

	Administrative Forms
	• Request for Mistake-of-Fact Review 8kb • Social Security Change Form for Active Employees 52kb


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