Nationwide Withdrawal Form - Terminate all existing withdrawal(s) (complete sections 1, 2 and 10 only) for setup/replace/change options: Distribution request for 401(a), 401(k), & 403(b) governmental plans. Submit this form electronically at nationwide.com for quicker. You may be able to submit and track the status of your distribution request. One time option (new request form required annually) enter withdrawal date and choose option below: Find and download nationwide forms for insurance, death benefit, mutual fund, key person, agribusiness and life insurance policies. Start by clicking “apply online.” elect status alerts. Submit this form electronically at nationwide.com for quicker handling contact us: Replace or change existing withdrawal. Provide federal tax withholding direction for all withdrawal requests except systematic.
You may be able to submit and track the status of your distribution request. Replace or change existing withdrawal. Submit this form electronically at nationwide.com for quicker handling contact us: Find and download nationwide forms for insurance, death benefit, mutual fund, key person, agribusiness and life insurance policies. Terminate all existing withdrawal(s) (complete sections 1, 2 and 10 only) for setup/replace/change options: One time option (new request form required annually) enter withdrawal date and choose option below: Start by clicking “apply online.” elect status alerts. Distribution request for 401(a), 401(k), & 403(b) governmental plans. Provide federal tax withholding direction for all withdrawal requests except systematic. Submit this form electronically at nationwide.com for quicker.